Provider Demographics
NPI:1154956886
Name:RISING GROUND
Entity type:Organization
Organization Name:RISING GROUND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MUCATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-375-8700
Mailing Address - Street 1:463 HAWTHORNE AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705-3441
Mailing Address - Country:US
Mailing Address - Phone:914-375-8700
Mailing Address - Fax:
Practice Address - Street 1:634 MANIDA ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10474-6403
Practice Address - Country:US
Practice Address - Phone:914-991-4080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-03
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty