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Organization

RISING ZENITH CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARYAN IBRAHIM HUSSEIN (CEO/OWNER)
(404) 992-2702
Entity
Organization

Contact information

Practice address
121 WASHINGTON AVE N FL 4, MINNEAPOLIS, MN 55401-2503
(404) 992-2702
Mailing address
121 WASHINGTON AVE N FL 4, MINNEAPOLIS, MN 55401-2503
(404) 992-2702

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
174200000X
Meals Provider
177F00000X
Lodging Provider
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
Primary
320800000X
Mental Illness Community Based Residential Treatment Facility
3245S0500X
Children's Substance Abuse Rehabilitation Facility

Other

Enumeration date
01/04/2024
Last updated
01/04/2024
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