Provider Demographics
NPI:1578050498
Name:RISE2GETHER INC
Entity Type:Organization
Organization Name:RISE2GETHER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MONDESIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:862-283-0320
Mailing Address - Street 1:800 SUMMER AVE APT B5
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07104-3597
Mailing Address - Country:US
Mailing Address - Phone:862-283-0320
Mailing Address - Fax:
Practice Address - Street 1:800 SUMMER AVE APT B5
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07104-3597
Practice Address - Country:US
Practice Address - Phone:862-283-0320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-16
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty