Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Voluntary or Charitable |
251V00000X | 61 | Voluntary Health or Charitable Agency[1] | |
Case Management |
251B00000X | |||
Community/Behavioral Health |
251S00000X |
| NPI Number | 1255707485 |
||||
| LBN Legal business name | RISE (RESTORING INDIVIDUALS WITH SPIRITUAL ENRICHMENT) | ||||
| Authorized official | KERIOMI TIMPSON-BEY - (PRESIDENT/EXECUTIVE DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 08/11/2015 | ||||
| Last updated | 06/22/2016 - About 10 years ago | ||||
| Identifiers |
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