| Organization Name: | RAISE THE BAR THERAPY SERVICES |
| NPI Number: | 1023486602 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHELLE BIELE (PRESIDENT) |
| Mailing Address: | 16579 Us Highway 17 N Hampstead |
| State: | NC US |
| Postal Code: | 284437313 |
| Phone Number: | 9106854505 |
| Fax Number: | 9109391519 |
| NPI Enumeration Date: | 09/12/2015 |
| NPI Last Update Date: | 10/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | 6483 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |