| Rise And Revitalize, Llc | |
|
824 Evergreen Dr Brownsville WI 53006-2606 | |
| (920) 585-0574 | |
| Not Available |
| Full Name | Rise And Revitalize, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 824 Evergreen Dr, Brownsville, Wisconsin |
| Authorized Official Name and Position | Emily R Fink (OWNER/CCS PROVIDER) |
| Authorized Official Contact | 9205850574 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rise And Revitalize, Llc Po Box 123 Brownsville WI 53006-0123 Ph: (920) 585-0574 | Rise And Revitalize, Llc 824 Evergreen Dr Brownsville WI 53006-2606 Ph: (920) 585-0574 |
| NPI Number | 1083417943 |
|---|---|
| Provider Enumeration Date | 03/28/2025 |
| Last Update Date | 03/28/2025 |
| Certification Date | 03/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083417943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |