| Riverside Community Care | |
|
34 Potter St Pawtucket RI 02860-4222 | |
| (401) 258-1621 | |
| Not Available |
| Full Name | Riverside Community Care |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 34 Potter St, Pawtucket, Rhode Island |
| Authorized Official Name and Position | Jessica M Costigan (JAIL DIVERSION CLINICIAN) |
| Authorized Official Contact | 4012581621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Community Care 34 Potter St Pawtucket RI 02860-4222 Ph: (401) 258-1621 | Riverside Community Care 34 Potter St Pawtucket RI 02860-4222 Ph: (401) 258-1621 |
| NPI Number | 1902199805 |
|---|---|
| Provider Enumeration Date | 05/25/2011 |
| Last Update Date | 05/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902199805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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