Provider Demographics
NPI:1437599479
Name:ARISE THERAPEUTICS, INC.
Entity Type:Organization
Organization Name:ARISE THERAPEUTICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:B
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTR/L
Authorized Official - Phone:207-570-9091
Mailing Address - Street 1:1408 N MCKINLEY AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-5623
Mailing Address - Country:US
Mailing Address - Phone:207-570-9091
Mailing Address - Fax:866-914-8780
Practice Address - Street 1:1408 N MCKINLEY AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-5623
Practice Address - Country:US
Practice Address - Phone:207-570-9091
Practice Address - Fax:866-914-8780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-03
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5224252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency