Organization
RISE CENTER FOR AUTISM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARGARET YVONNE FICAJ BCBA (CLINICAL DIRECTOR)
(989) 202-5737
Entity
Organization
Contact information
Practice address
1840 W HOUGHTON LAKE DR UNIT 2, PRUDENVILLE, MI 48651-9672
(989) 965-3274
Mailing address
140 ALGONQUIN DR, HOUGHTON LAKE, MI 48629-9356
(989) 965-3274
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2017
Last updated
06/16/2018
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