Organization
RIVERSIDE CARE, INC
Active
Other names
continuum inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN P. SOLOMONS (CFO)
(215) 451-7000
Entity
Organization
Contact information
Practice address
5501 CHESTNUT ST, PHILADELPHIA, PA 19139-3205
(215) 747-6480
(215) 747-6432
Mailing address
499 N 5TH ST, STE A, PHILADELPHIA, PA 19123-4005
(215) 451-7000
(215) 925-6897
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
807359
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007578550007
—
PA
01
—
1007578550027
MEDICAID TYPE 11
PA
05
—
1007578550033
—
PA
Enumeration date
07/11/2006
Last updated
11/02/2010
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