Organization
RIVERVIEW LIFE SKILLS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES JOHANNS ERICKSON SR. (PRESISDENT)
(802) 644-8708
Entity
Organization
Contact information
Practice address
197 HIGHLANDER DR, JEFFERSONVILLE, VT 05464-9591
(802) 644-8708
(802) 644-6697
Mailing address
197 HIGHLANDER DR, JEFFERSONVILLE, VT 05464-9591
(802) 644-8708
(802) 644-6697
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
0214
VT
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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