NPI 1639473036

Riverside Community Care

Organisation Child Mental Illness Respite Care Norwood, MA

Practice location

Address: 15 Beacon Ave, Norwood, MA 02062-2018
Phone: (781) 234-8212

Authorised official

Name: Shannon M Adams
Title: Lpn
Phone: (508) 809-0545

Registered specialties

Child Mental Illness Respite Care Primary

Respite Care Facility Taxonomy 385HR2055X Licence LN87437 (MA)

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Registry record

NPI: 1639473036
Entity type: Organization
NPI issued: 29 Dec 2010
Record last updated: 29 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.