Organization
RAISEUP COMMUNITY DEVELOPMENT CORPORATION
Active
Parent organization
RAISEUP COMMUNITY DEVELOPMENT CORPORATION
Other names
RaiseUp Life Management Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
RAISEUP COMMUNITY DEVELOPMENT CORPORATION
Authorized official
MR. ANTHONY FITZGERALD HARRIS LCSW, LADC (PRESIDENT)
(702) 592-4814
Entity
Organization
Contact information
Practice address
5328 VISTA HERMOSA AVE, LAS VEGAS, NV 89108-4095
(702) 592-4814
(702) 631-9475
Mailing address
5328 VISTA HERMOSA AVE, LAS VEGAS, NV 89108-4095
(702) 592-4814
(702) 631-9475
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
4913-S
NV
251S00000X
Community/Behavioral Health Agency
Primary
5909-C
NV
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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