# RISING STAR YOUTH AND FAMILY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609116391
- **Authorized official:** TAMALA THOMPSON (EXECUTIVE MANAGER)
- **Authorized official phone:** (706) 284-3267

## Contact information

- **Practice address:** 1553 EDGEFIELD RD, NORTH AUGUSTA, SC 29860-9138
- **Practice address phone:** (706) 284-3267
- **Mailing address:** 1553 EDGEFIELD RD, NORTH AUGUSTA, SC 29860-9138

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251300000X | Local Education Agency (LEA) | — | NULL | — |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 02/18/2013
- **Last updated:** 02/18/2013