NPI Code Details Logo

NPI 1295836278

NPI 1295836278 : RISE, INCORPORATED : TUCSON, AZ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1295836278
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    RISE, INCORPORATED 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/25/2006
-----------------------------------------------------
    Last Update Date     |    07/21/2022
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    732 N. STONE AVENUE 
-----------------------------------------------------
    City                 |    TUCSON
-----------------------------------------------------
    State                |    AZ
-----------------------------------------------------
    Zip                  |    85705
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    520-624-9818
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    82 S. STONE AVENUE 
-----------------------------------------------------
    City                 |    TUCSON
-----------------------------------------------------
    State                |    AZ
-----------------------------------------------------
    Zip                  |    85701
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    520-791-6813
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CLIENT SERVICES DIRECTOR
-----------------------------------------------------
    Name                 |    MS. BERNADETTE  WILKINSON 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    520-791-6813
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QM0850X
-----------------------------------------------------
    Taxonomy Name        |    Adult Mental Health Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.