Organization
RISE RECOVERY LLC
Active
Organization
RISE RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN LAWRENCE MARSDEN CADAC 2 (EXECUTIVE DIRECTOR)
(260) 908-3167
Entity
Organization
Contact information
Practice address
3020 S CALHOUN ST, FORT WAYNE, IN 46807-1408
(260) 908-3167
Mailing address
112 LINCOLN HWY W, NEW HAVEN, IN 46774-2158
(260) 908-3167
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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