Healthcare Provider Details

I. General information

NPI: 1508430737
Provider Name (Legal Business Name): ARISEMH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2021
Last Update Date: 05/13/2021
Certification Date: 05/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4250 AUBURN BLVD
SACRAMENTO CA
95841-4164
US

IV. Provider business mailing address

3400 COTTAGE WAY STE G2
SACRAMENTO CA
95825-1474
US

V. Phone/Fax

Practice location:
  • Phone: 904-318-7897
  • Fax:
Mailing address:
  • Phone: 904-318-7897
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSE ROSA FELIBERTI
Title or Position: OWNER
Credential: MD
Phone: 904-318-7897