Rise Pllc

NPI #1780929752 in Wilburton, Oklahoma

Provider Information

NPI Number
1780929752
Entity Type
Organization
Organization Name
Rise Pllc
Primary Specialty
Community/Behavioral Health
Enumeration Date
Dec 3, 2012
Last Updated
Dec 3, 2012

Practice Location

Address
311 W MAIN ST
ZIP Code
74578-4047
Phone
(918) 465-0909

Authorized Official

Name
GARY P NELSON, MS,LPC,LADC
Title
CEO/OWNER
Phone
(918) 448-0590

Specialties & Taxonomy Codes

Specialty
Case Management
Community/Behavioral Health

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