RIVERSIDE COMMUNITY CARE NPI 1639473036

NPI Information

RIVERSIDE COMMUNITY CARE is a respite care and mental illness and child respite care in Norwood, MA. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. RIVERSIDE COMMUNITY CARE NPI is 1639473036. The provider is registered as an organization entity type.

The provider's business location address is:

15 BEACON AVE
NORWOOD, MA
ZIP 02062-018
Phone: (781) 234-8212

The provider's authorized official is Shannon M Adams .
The authorized official title is Lpn and has the following contact phone number (508) 809-0545.

The CLIA number assigned to this NPI record is 22D2283290 - other - residential crisis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/29/2010 and was last updated on 12/29/2010.

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:

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