# THE RIVERSIDE COMMUNITY CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225006380
- **Authorized official:** MRS. DONNA G. COWAN M.ED./CADC (ADMINISTRATOR)
- **Authorized official phone:** (207) 794-2150

## Contact information

- **Practice address:** 43 FLEMING ST, LINCOLN, ME 04457-1451
- **Practice address phone:** (207) 794-6280
- **Mailing address:** 43 FLEMING ST, LINCOLN, ME 04457-1451
- **Mailing address phone:** (207) 794-2150
- **Mailing address fax:** (207) 794-6280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 266141 | ME | Yes |

## Other

- **Enumeration date:** 03/14/2006
- **Last updated:** 04/04/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 125240000 | — | ME |