Organization
RISE TOGETHER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE JOHNSON (OWNER/ OPERATING MANAGER)
(208) 559-2333
Entity
Organization
Contact information
Practice address
4931 N ELENA MARIA PL, MERIDIAN, ID 83646-6758
(208) 559-2333
Mailing address
4949 N ELENA MARIA PL, MERIDIAN, ID 83646-6758
(208) 559-2333
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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