Organization
RISE OF RUSTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FELICIA DOUGLAS (OWNER)
(318) 224-9088
Entity
Organization
Contact information
Practice address
512 E TEXAS AVE, RUSTON, LA 71270-4555
(318) 331-3977
Mailing address
512 E TEXAS AVE, RUSTON, LA 71270-4555
(318) 331-3977
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
09/13/2024
Last updated
06/29/2025
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