Organization
THE RIVER WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA RUTH CRUZ LCSW (OWNER)
(803) 260-6520
Entity
Organization
Contact information
Practice address
245 KATHERINE DR STE D, FLOWOOD, MS 39232-9588
(888) 402-0840
Mailing address
PO BOX 321383, FLOWOOD, MS 39232-1383
(888) 402-0840
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01983101
—
MS
Enumeration date
04/23/2020
Last updated
12/21/2021
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