Organization
RIVERSIDE COMMUNITY COMMUNITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TIA YANG M.S. (EMERGENCY SERVICES CLINICIAN)
(508) 612-0761
Entity
Organization
Contact information
Practice address
8 PRUDENTIAL RD, WORCESTER, MA 01606-1524
(508) 612-0761
Mailing address
8 PRUDENTIAL RD, WORCESTER, MA 01606-1524
(508) 612-0761
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/14/2007
Last updated
08/22/2020
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