Organization
RISE CHILDREN'S CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HASSAN HASSAN-KHALIL ABDALLAH (CLINICAL DIRECTOR)
(313) 802-6645
Entity
Organization
Contact information
Practice address
18161 W 13 MILE RD, SOUTHFIELD, MI 48076-1113
(313) 802-6645
Mailing address
20150 PLANTATION LN, BEVERLY HILLS, MI 48025-5050
(313) 338-4850
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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