OrganizationActive
Rise Children'S Center
NPI 1770235293 · Pediatric Neurodevelopmental Disabilities Physician · Southfield, MI
Provider details
- NPI number
- 1770235293
- Entity type
- Organization
- Primary specialty
- Pediatric Neurodevelopmental Disabilities PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Hassan Abdallah, Clinical Director(313) 802-6645
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Pediatric Occupational Therapist225XP0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Practice location
18161 W 13 Mile Rd
Southfield, MI 48076-1113
Phone: (313) 802-6645
Approximate (ZIP-level) locationGet directions
Mailing address
20150 Plantation Ln
Beverly Hills, MI 48025-5050
Registry dates
- Enumerated
- 2022-01-25
- Last updated
- 2022-01-25
- Certified
- 2022-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.