| Rising Ground | |
|
634 Manida St Bronx NY 10474-6403 | |
| (914) 991-4080 | |
| Not Available |
| Full Name | Rising Ground |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 634 Manida St, Bronx, New York |
| Authorized Official Name and Position | Alan Mucatel (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9143758700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rising Ground 463 Hawthorne Ave Yonkers NY 10705-3441 Ph: (914) 375-8700 | Rising Ground 634 Manida St Bronx NY 10474-6403 Ph: (914) 991-4080 |
| NPI Number | 1154956886 |
|---|---|
| Provider Enumeration Date | 03/03/2020 |
| Last Update Date | 03/03/2020 |
| Certification Date | 03/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154956886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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