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Organization
RIVERSIDE HOSPITAL INC
Active
Organization
RIVERSIDE HOSPITAL INC
Active
Other names
Riverside Behavioral Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRADEN MILLER (CFO)
(757) 316-5800
Entity
Organization
Contact information
Practice address
2244 EXECUTIVE DR, HAMPTON, VA 23666-2430
(757) 827-1001
(757) 827-3128
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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