Organization
RISE UP BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER HUMPHREY APRN (SOLE MEMBER)
(203) 217-1455
Entity
Organization
Contact information
Practice address
76 WESTBURY PARK RD, WATERTOWN, CT 06795-2779
(860) 484-3781
Mailing address
84 PORTLAND ST, OAKVILLE, CT 06779-1032
(203) 217-1455
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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