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Organization
RIVERVIEW LIFE SKILLS CENTER, INC.
Active
Organization
RIVERVIEW LIFE SKILLS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES JOHANNS ERICKSON SR. (PRESISDENT)
(802) 644-8708
Entity
Organization
Contact information
Practice address
197 HIGHLANDER DR, JEFFERSONVILLE, VT 05464-9591
(802) 644-8708
(802) 644-6697
Mailing address
197 HIGHLANDER DR, JEFFERSONVILLE, VT 05464-9591
(802) 644-8708
(802) 644-6697
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
0214
VT
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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