Organization
R.I.S.E FAMILY SERVICES LLC
Active
Parent organization
R.I.S.E FAMILY SERVICES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
R.I.S.E FAMILY SERVICES LLC
Authorized official
SHONNELL HAM LMSW (CEO)
(240) 918-0861
Entity
Organization
Contact information
Practice address
9811 MALLARD DR STE 203, LAUREL, MD 20708-3199
(301) 778-8835
Mailing address
9811 MALLARD DR STE 203, LAUREL, MD 20708-3199
(301) 778-8835
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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