Organization
RIVERSIDE COMMUNITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA LUSTGARTEN (THERAPEUTIC MENTOR)
(617) 834-9589
Entity
Organization
Contact information
Practice address
237 HIGHLAND AVE, NEEDHAM, MA 02494-3036
(781) 433-0672
Mailing address
20 CHESTNUT ST, CAMBRIDGE, MA 02139-4850
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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