Organization
RIVERFRONT COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAN PORTER B.S. (TREASURER)
(563) 324-3200
Entity
Organization
Contact information
Practice address
102 S HARRISON ST, DAVENPORT, IA 52801-1811
(563) 324-3200
(563) 324-3210
Mailing address
PO BOX 85, DAVENPORT, IA 52805-0085
(563) 324-3200
(563) 324-3210
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0743716
—
IA
05
—
0760793
—
IA
Enumeration date
05/31/2007
Last updated
08/22/2020
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