MEDICARE: NEW RISE RECOVERY INC

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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1588514731
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW RISE RECOVERY INC

Provider Business Mailing Address
First Line	:	4770 INDIANOLA AVE STE 101
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-1862
Country	:	US
Telephone Number	:	614-636-1722
Fax Number	:

Provider Business Practice Location Address
First Line	:	4770 INDIANOLA AVE STE 101
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-1862
Country	:	US
Telephone Number	:	614-636-1722
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	JULIAN NABORS
Credential	:
Telephone Number	:	614-330-6958

Provider Enumeration Date	:	01/29/2026
Last Update Date	:	01/29/2026

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Directions to “NEW RISE RECOVERY INC ” Practice Location

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