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Organization
RISING STAR YOUTH AND FAMILY SERVICES
Active
Organization
RISING STAR YOUTH AND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMALA THOMPSON (EXECUTIVE MANAGER)
(706) 284-3267
Entity
Organization
Contact information
Practice address
1553 EDGEFIELD RD, NORTH AUGUSTA, SC 29860-9138
(706) 284-3267
Mailing address
1553 EDGEFIELD RD, NORTH AUGUSTA, SC 29860-9138
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
NULL
251B00000X
Case Management Agency
Primary
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
02/18/2013
Last updated
02/18/2013
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