Organization
RIVERSIDE COMMUNITY CENTER
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
8 FLEMING ST, LINCOLN, ME 04457-1419
(207) 794-2150
(207) 794-6280
Mailing address
8 FLEMING STREET, LINCOLN, ME 04457-0000
(207) 794-2150
(207) 794-6280
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
266141
ME
Other
Enumeration date
09/13/2010
Last updated
04/04/2011
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