Riverside Community Care
NPI #1174907000 in Somerville, Massachusetts
Provider Information
- NPI Number
- 1174907000
- Entity Type
- Organization
- Organization Name
- Riverside Community Care
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jul 9, 2015
- Last Updated
- Jul 9, 2015
Practice Location
- Address
- 12 TYLER ST
- City
- Somerville
- State
- Massachusetts
- ZIP Code
- 02143-3241
- Phone
- (781) 364-0940
Authorized Official
- Name
- JACQUELINE MARIE FICKES
- Title
- INTENSIVE CARE COORDINATOR
- Phone
- (781) 364-0940
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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