Organization
RISING UP FAMILY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC VINCESON CLARK SR. MHP (OWNER/MHP)
(318) 716-1369
Entity
Organization
Contact information
Practice address
404 HEARNE AVE, SHREVEPORT, LA 71103-2022
(318) 716-1369
(318) 675-0120
Mailing address
404 HEARNE AVE, SHREVEPORT, LA 71103-2022
(318) 716-1369
(318) 675-0120
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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