Organization
THE RIVERSIDE COMMUNITY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA G. COWAN M.ED./CADC (ADMINISTRATOR)
(207) 794-2150
Entity
Organization
Contact information
Practice address
43 FLEMING ST, LINCOLN, ME 04457-1451
(207) 794-6280
Mailing address
43 FLEMING ST, LINCOLN, ME 04457-1451
(207) 794-2150
(207) 794-6280
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
266141
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125240000
—
ME
Enumeration date
03/14/2006
Last updated
04/04/2011
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