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Organization
RIVERWOOD GROUP, LLC
Active
Organization
RIVERWOOD GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM WEISS (DIRECTOR OF QUALITY MANAGEMENT)
(402) 339-1436
Entity
Organization
Contact information
Practice address
42 GODLEY RD, SAINT HELENA ISLAND, SC 29920-5113
(402) 033-9143
(402) 592-5901
Mailing address
42 GODLEY RD, SAINT HELENA ISLAND, SC 29920-5113
(402) 033-9143
(402) 592-5901
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
09/21/2017
Last updated
02/12/2021
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