Organization
SUNRIZE RISING STARS
Active
Organization
SUNRIZE RISING STARS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIESHQUANNA RICHARDSON (OWNER)
(919) 809-0852
Entity
Organization
Contact information
Practice address
312 KILGO ST, CLAYTON, NC 27520-1651
(919) 809-0852
Mailing address
PO BOX 94, CLAYTON, NC 27528-0094
(919) 809-0852
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
07/02/2026
Last updated
07/02/2026
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