Organization
RISE BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATIESHA WIGGINS MPA, QMHP, CSAC (EXECUTIVE DIRECTOR)
(757) 394-4523
Entity
Organization
Contact information
Practice address
355 CRAWFORD ST, PORTSMOUTH, VA 23704-2816
(757) 394-4523
(757) 282-7866
Mailing address
3809 RED BARN RD STE 502, PORTSMOUTH, VA 23703-2712
(757) 394-4523
(757) 282-7866
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/06/2018
Last updated
05/06/2018
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