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Organization
UPRISING HOMES INC
Active
Organization
UPRISING HOMES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA DAMERON (OWNER)
(252) 794-5234
Entity
Organization
Contact information
Practice address
814 GOVERNORS RD, WINDSOR, NC 27983-7650
(252) 794-5234
Mailing address
814 GOVERNORS RD, WINDSOR, NC 27983-7650
(252) 794-5234
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301987
—
NC
Enumeration date
08/08/2007
Last updated
08/08/2007
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