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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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