Organization
RISE BEHAVIORAL HEALTH, LLC
Active
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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