Healthcare Provider Details

I. General information

NPI: 1730090283
Provider Name (Legal Business Name): RIVER MONTESSORI CHARTER SCHOOL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3880 CYPRESS DR STE B
PETALUMA CA
94954-5613
US

IV. Provider business mailing address

3880 CYPRESS DR STE B
PETALUMA CA
94954-5613
US

V. Phone/Fax

Practice location:
  • Phone: 707-778-6414
  • Fax:
Mailing address:
  • Phone: 707-778-6414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: LORNA ROCHMAN-MCENTIRE
Title or Position: COORDINATOR STUDENT SERVICES
Credential: ED
Phone: 707-778-6414