Provider Demographics
NPI:1790584712
Name:RISE UP RECOVERY LLC
Entity type:Organization
Organization Name:RISE UP RECOVERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KASRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:NOJOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-667-5615
Mailing Address - Street 1:900 OSCEOLA DR STE 108
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-5000
Mailing Address - Country:US
Mailing Address - Phone:646-667-5615
Mailing Address - Fax:561-532-0050
Practice Address - Street 1:900 OSCEOLA DR STE 108
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-5000
Practice Address - Country:US
Practice Address - Phone:646-667-5615
Practice Address - Fax:561-532-0050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder