Organization
RIVERSIDE COMMUNITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA MEDALIE LICSW (EXECUTIVE VICE-PRESIDENT)
(781) 320-5328
Entity
Organization
Contact information
Practice address
270 BRIDGE ST, SUITE 301, DEDHAM, MA 02026-1798
(781) 320-5321
Mailing address
180 NORTH ST, SOMERVILLE, MA 02144-1122
(781) 320-5321
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
115639-SW-LICSW
MA
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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