Organization
RIVERSIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT BOCK (CEO)
(781) 329-0909
Entity
Organization
Contact information
Practice address
32 HAMILTON AVE, MILFORD, MA 01757-1748
(508) 634-3420
(508) 422-9644
Mailing address
32 HAMILTON STREET, MILFORD, MA 01757
(508) 634-3420
(508) 422-9644
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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