Organization
RIVER ROCK TREATMENT
Active
Organization
RIVER ROCK TREATMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAE BOWMAN (FOUNDER/DIRECTOR)
(508) 446-5829
Entity
Organization
Contact information
Practice address
125 COLLEGE STREET 5TH FLOOR, BURLINGTON, VT 05401-8444
(888) 308-2624
Mailing address
125 COLLEGE STREET 5TH FLOOR, BURLINGTON, VT 05401-8444
(888) 308-2624
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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