Organization
RISING STAR YOUTH AND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMALA THOMPSON (EXECUTIVE MANAGER)
(706) 284-3267
Entity
Organization
Contact information
Practice address
1553 EDGEFIELD RD, NORTH AUGUSTA, SC 29860-9138
(706) 284-3267
Mailing address
1553 EDGEFIELD RD, NORTH AUGUSTA, SC 29860-9138
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
—
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
02/18/2013
Last updated
02/18/2013
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