RIVER ROCK TREATMENT NPI 1073116208

NPI Information

NPI: 1073116208
Provider Name: RIVER ROCK TREATMENT
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
125 COLLEGE STREET 5TH FLOOR
BURLINGTON, VT
ZIP 05401
Phone: (888) 308-2624
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RIVER ROCK TREATMENT is a substance abuse rehabilitation facility in Burlington, VT. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. RIVER ROCK TREATMENT NPI is 1073116208. The provider is registered as an organization entity type.

The provider's business location address is:

125 COLLEGE STREET 5TH FLOOR
BURLINGTON, VT
ZIP 05401-444
Phone: (888) 308-2624

The provider's authorized official is Jae Bowman .
The authorized official title is Founder/director and has the following contact phone number (508) 446-5829.

The enumeration date for this NPI number is 11/19/2020 and was last updated on 11/19/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
3	324500000X	Substance Abuse Rehabilitation Facility		Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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