Organization
R.I.S.E FAMILY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHONNELL HAM LCSW-C (OWNER)
(301) 778-8835
Entity
Organization
Contact information
Practice address
9811 MALLARD DR STE 203, LAUREL, MD 20708-3199
(301) 778-8835
Mailing address
9811 MALLARD DR STE 203, LAUREL, MD 20708-3199
(301) 778-8835
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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