Organization
THE R.I.S.E. CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANDEL MARY CRUTCHFIELD LCSW (OWNER, THERAPIST)
(225) 206-1072
Entity
Organization
Contact information
Practice address
4910 PINEHILL DR, BATON ROUGE, LA 70817-2368
(225) 206-1072
Mailing address
PO BOX 87466, BATON ROUGE, LA 70879-8466
(225) 206-1072
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
40254728K
LA
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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