Healthcare Provider Details

I. General information

NPI: 1235054495
Provider Name (Legal Business Name): ARISE ENRICHMENT CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 E WESTGATE DRIVE SUITE 317-D
GREENSBORO NC
27407
US

IV. Provider business mailing address

315 E WESTGATE DRIVE SUITE 317-D
GREENSBORO NC
27407
US

V. Phone/Fax

Practice location:
  • Phone: 336-209-6056
  • Fax:
Mailing address:
  • Phone: 336-209-6056
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MARVIN AHWIRENG PEASAH
Title or Position: MANAGING PARTNER/OWNER
Credential:
Phone: 336-209-6056