Organization
RIVERSIDE COMMUNITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISBET MEGAN KERSTING PSYD (PROGRAM DIRECTOR)
(508) 876-8074
Entity
Organization
Contact information
Practice address
206 MILFORD ST, UPTON, MA 01568-1309
(508) 876-8074
Mailing address
206 MILFORD ST, UPTON, MA 01568-1309
(508) 876-8074
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
MA
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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