Organization
RISE CENTER FOR RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SYDNEY C SMITH MA, LPC, LADC, (CEO)
(918) 521-8565
Entity
Organization
Contact information
Practice address
223 N EAST AVE, TAHLEQUAH, OK 74464-3249
(918) 822-4499
Mailing address
223 N EAST AVE, TAHLEQUAH, OK 74464-3249
(918) 822-4499
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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