| Arise Community Program Inc. | |
|
204 Cedar St Cambridge MD 21613-2395 | |
| (717) 424-4930 | |
| Not Available |
| Full Name | Arise Community Program Inc. |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 204 Cedar St, Cambridge, Maryland |
| Authorized Official Name and Position | Feyisayo Waleola Ogunneye (MANAGING DIRECTOR) |
| Authorized Official Contact | 7174244930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arise Community Program Inc. 204 Cedar St Cambridge MD 21613-2395 Ph: () - | Arise Community Program Inc. 204 Cedar St Cambridge MD 21613-2395 Ph: (717) 424-4930 |
| NPI Number | 1457127151 |
|---|---|
| Provider Enumeration Date | 12/04/2023 |
| Last Update Date | 12/04/2023 |
| Certification Date | 12/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457127151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (* (Not Available)) | Primary |
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