Organization
RIVERWOOD MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL J KUBAS-MEYER (EXECUTIVE DIRECTOR)
(401) 247-4278
Entity
Organization
Contact information
Practice address
25 RAILROAD AVE, WARREN, RI 02885-3206
(401) 247-4278
Mailing address
25 RAILROAD AVE, PO BOX 226, WARREN, RI 02885-3206
(401) 247-4278
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
L-9010
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RR02204
—
RI
05
—
RR02205
—
RI
Enumeration date
12/06/2006
Last updated
08/22/2020
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