| NPI | 1912575762 |
|---|---|
| Doing Business As | RISE LIFE SERVICES |
| Entity Type | Organization |
| Authorized Contact | TRACEY ANDERSEN Lmhc 631-745-4189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2023-07-07 |