Organization
RAISEUP COMMUNITY DEVELOPMENT CORPORATION
Active
Other names
RaiseUp Life Management Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY FITZGERALD HARRIS LCSW, LADC (DIRECTOR/THERAPIST)
(702) 592-4814
Entity
Organization
Contact information
Practice address
5328 VISTA HERMOSA AVE, LAS VEGAS, NV 89108-4095
(702) 592-4814
Mailing address
PO BOX 571661, LAS VEGAS, NV 89157-1661
(702) 592-4814
(702) 631-9475
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
01168-L
NV
251B00000X
Case Management Agency
5909-C
NV
251S00000X
Community/Behavioral Health Agency
01168-L
NV
251S00000X
Community/Behavioral Health Agency
Primary
5909-C
NV
Other
Enumeration date
04/22/2011
Last updated
04/22/2011
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