Organization
ARISE COMMUNITY PROGRAM INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FEYISAYO WALEOLA OGUNNEYE (MANAGING DIRECTOR)
(717) 424-4930
Entity
Organization
Contact information
Practice address
204 CEDAR ST, CAMBRIDGE, MD 21613-2395
(717) 424-4930
Mailing address
204 CEDAR ST, CAMBRIDGE, MD 21613-2395
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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