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Organization
RISE UP BEHAVIORAL HEALTH SERVICES LLC
Active
Organization
RISE UP BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER HUMPHREY APRN (SOLE MEMBER)
(203) 217-1455
Entity
Organization
Contact information
Practice address
76 WESTBURY PARK RD, WATERTOWN, CT 06795-2779
(860) 484-3781
Mailing address
84 PORTLAND ST, OAKVILLE, CT 06779-1032
(203) 217-1455
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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