Organization
RIVERSIDE COMMUNITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LAYNE C PETRIE M.ED. (BEHAVIOR ANALYST)
(781) 246-2010
Entity
Organization
Contact information
Practice address
338 MAIN ST, SUITE 301, WAKEFIELD, MA 01880-5042
(781) 246-2010
Mailing address
338 MAIN ST, SUITE 301, WAKEFIELD, MA 01880-5042
(781) 246-2010
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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