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NPI Code Detail

MEDICARE: RIVERWOOD MENTAL HEALTH SERVICE

MEDICARE: RIVERWOOD MENTAL HEALTH SERVICE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1323P00000XPsychiatric Residential Treatment FacilityRN45198RI

General Provider Information

NPI Number : 1033471917
Entity Type Code : Organization
Provider Name (Legal Business Name) : RIVERWOOD MENTAL HEALTH SERVICE
Provider Business Mailing Address
First Line : 25 RAILROAD AVE
Second Line :
City : WARREN
State : RI
Zip : 02885-3206
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 25 RAILROAD AVE
Second Line :
City : WARREN
State : RI
Zip : 02885-3206
Country : US
Telephone Number : 401-247-4278
Fax Number :
Authorized Official
Title or Position : CEO
Name : DANIEL KUBAS-MEYER
Credential :
Telephone Number : 401-247-4278
Provider Enumeration Date : 06/15/2012
Last Update Date : 06/15/2012

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Directions to “RIVERWOOD MENTAL HEALTH SERVICE ” Practice Location

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