Organization
R.I.S.E. COMMUNITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RALPHEAL JOHNSON (PRESIDENT/CEO)
(225) 620-5617
Entity
Organization
Contact information
Practice address
333 TEXAS ST STE 1300, SHREVEPORT, LA 71101-3783
(888) 312-7473
Mailing address
PO BOX 52104, SHREVEPORT, LA 71135-2104
(225) 620-5617
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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