Organization
RISE FOR AUTISM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ANTLITZ (DIRECTOR)
(410) 487-6011
Entity
Organization
Contact information
Practice address
510 MCCORMICK DR STE U-V, GLEN BURNIE, MD 21061-3283
(410) 487-6011
Mailing address
510 MCCORMICK DR STE U-V, GLEN BURNIE, MD 21061-3283
(410) 487-6011
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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