Organization
RAISEUP COMMUNITY DEVELOPMENT CORPORATION
Active
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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