Organization
RISING YOUTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROMEA NICOLE SMITH (OWNER)
(704) 747-3950
Entity
Organization
Contact information
Practice address
302 CALIFORNIA ST, YORK, SC 29745-1430
(704) 574-9635
Mailing address
302 CALIFORNIA ST, YORK, SC 29745-1430
(704) 574-9635
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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