Organization
RYSE REBUILDING YOUNG MINDS TO SEEK EXCELLENCE DEVELOPMENT CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOTHEL WATSON (PRESIDENT)
(704) 701-0112
Entity
Organization
Contact information
Practice address
3072 DALE EARNHARDT BLVD, KANNAPOLIS, NC 28083-1405
(704) 932-8493
Mailing address
3072 DALE EARNHARDT BLVD, KANNAPOLIS, NC 28083-1405
(704) 932-8493
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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