Organization
UPRISE BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICKIE CHANEY LISW-S, LICDC (EXECUTIVE DIRECTOR)
(216) 659-5406
Entity
Organization
Contact information
Practice address
5 SEVERANCE CIR STE 201, CLEVELAND HTS, OH 44118-1567
(216) 659-5406
Mailing address
13701 5TH AVE, EAST CLEVELAND, OH 44112-3109
(216) 659-5406
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/02/2021
Last updated
05/02/2021
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