Organization
RISE UP RECOVERY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NAFISA IBRAHIM REGISTERED NURSE (PRACTICE OWNER)
(614) 900-1807
Entity
Organization
Contact information
Practice address
2861 ZACH DR, COLUMBUS, OH 43219-5010
(614) 900-1807
Mailing address
2861 ZACH DR, COLUMBUS, OH 43219-5010
(614) 900-1807
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14536856
CAQH
OH
Enumeration date
12/19/2022
Last updated
02/22/2023
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