Organization
RIVERSIDE COMMUNITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATYA A SIVACEK MSW (EMERGENCY SERVICE CLINICIAN)
(774) 291-6653
Entity
Organization
Contact information
Practice address
32 HAMILTON AVE, MILFORD, MA 01757-1748
(508) 634-3420
Mailing address
32 HAMILTON AVE, MILFORD, MA 01757-1748
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
S69008085
MA
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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