Provider Demographics
NPI:1710688197
Name:ARISE TREATMENT CENTER LLC
Entity Type:Organization
Organization Name:ARISE TREATMENT CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:MUKIZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-850-9327
Mailing Address - Street 1:6203 E BEVERLY ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-5243
Mailing Address - Country:US
Mailing Address - Phone:207-408-2792
Mailing Address - Fax:
Practice Address - Street 1:6203 E BEVERLY ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-5243
Practice Address - Country:US
Practice Address - Phone:207-408-2792
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-13
Last Update Date:2023-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health