Healthcare Provider Details

I. General information

NPI: 1245993427
Provider Name (Legal Business Name): RISING ABOVE BEHAVIORAL HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2021
Last Update Date: 10/14/2021
Certification Date: 10/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3809 S HANOVER ST
BALTIMORE MD
21225-1708
US

IV. Provider business mailing address

3809 S HANOVER ST
BALTIMORE MD
21225-1708
US

V. Phone/Fax

Practice location:
  • Phone: 443-621-9208
  • Fax:
Mailing address:
  • Phone: 443-621-9208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. FRANKLIN JOSEPH BECK
Title or Position: CEO
Credential: M.ED., MPH, LCADC
Phone: 443-621-9208