Ryse Rebuilding Young Minds to Seek Excellence Development Corp
NPI #1275935314 in Kannapolis, North Carolina
Provider Information
- NPI Number
- 1275935314
- Entity Type
- Organization
- Organization Name
- Ryse Rebuilding Young Minds to Seek Excellence Development Corp
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Sep 19, 2014
- Last Updated
- Sep 19, 2014
Practice Location
- Address
- 3072 DALE EARNHARDT BLVD
- City
- Kannapolis
- State
- North Carolina
- ZIP Code
- 28083-1405
- Phone
- (704) 932-8493
Authorized Official
- Name
- LOTHEL WATSON
- Title
- PRESIDENT
- Phone
- (704) 701-0112
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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