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NPI Code Detail

MEDICARE: RISE YOUTH & FAMILY SERVICES LLC

MEDICARE: RISE YOUTH & FAMILY SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1124552971
Entity Type Code : Organization
Provider Name (Legal Business Name) : RISE YOUTH & FAMILY SERVICES LLC
Provider Business Mailing Address
First Line : 8500 W NORTH AVE
Second Line :
City : WAUWATOSA
State : WI
Zip : 53226-2844
Country : US
Telephone Number : 414-559-8864
Fax Number :
Provider Business Practice Location Address
First Line : 8500 W NORTH AVE
Second Line :
City : WAUWATOSA
State : WI
Zip : 53226-2844
Country : US
Telephone Number : 414-559-8864
Fax Number :
Authorized Official
Title or Position : FOUNDER & CEO
Name : SARA JANE NEWMAN
Credential : LCSW
Telephone Number : 414-559-8864
Provider Enumeration Date : 04/19/2017
Last Update Date : 04/19/2017

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Directions to “RISE YOUTH & FAMILY SERVICES LLC ” Practice Location

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