Provider Demographics
NPI:1558855338
Name:RURAL INNOVATIONS IN SOCIAL ECONOMICS, INCORPORATED
Entity Type:Organization
Organization Name:RURAL INNOVATIONS IN SOCIAL ECONOMICS, INCORPORATED
Other - Org Name:RISE, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TICO
Authorized Official - Middle Name:
Authorized Official - Last Name:ZENDEJAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-787-3433
Mailing Address - Street 1:17317 FREMONT ST
Mailing Address - Street 2:
Mailing Address - City:ESPARTO
Mailing Address - State:CA
Mailing Address - Zip Code:95627-2137
Mailing Address - Country:US
Mailing Address - Phone:530-787-4110
Mailing Address - Fax:530-787-4104
Practice Address - Street 1:17317 FREMONT ST
Practice Address - Street 2:
Practice Address - City:ESPARTO
Practice Address - State:CA
Practice Address - Zip Code:95627-2137
Practice Address - Country:US
Practice Address - Phone:530-787-4110
Practice Address - Fax:530-787-4104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-15
Last Update Date:2018-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health