| Root To Rise, Inc. | |
|
408 S Main St Ste B Rock Springs WY 82901-6247 | |
| (307) 374-4014 | |
| Not Available |
| Full Name | Root To Rise, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 408 S Main St Ste B, Rock Springs, Wyoming |
| Authorized Official Name and Position | Jessica Castillo (COUNSELOR/OWNER) |
| Authorized Official Contact | 3073744014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Root To Rise, Inc. Po Box 1102 Rock Springs WY 82902-1102 Ph: (307) 374-4014 | Root To Rise, Inc. 408 S Main St Ste B Rock Springs WY 82901-6247 Ph: (307) 374-4014 |
| NPI Number | 1295470862 |
|---|---|
| Provider Enumeration Date | 04/28/2022 |
| Last Update Date | 03/16/2023 |
| Certification Date | 03/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295470862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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