Riverside Community Care
NPI #1659535995 in Somerville, Massachusetts
Provider Information
- NPI Number
- 1659535995
- Entity Type
- Organization
- Organization Name
- Riverside Community Care
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Jul 16, 2008
- Last Updated
- Oct 26, 2010
Practice Location
- Address
- 61 MEDFORD ST
- City
- Somerville
- State
- Massachusetts
- ZIP Code
- 02143-3421
- Phone
- (617) 629-3919
Authorized Official
- Name
- KEDAR GRACE THOMAS, LCSW
- Title
- SOCIAL WORKER
- Phone
- (617) 629-3919
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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