Organization
RIVERSIDE THERAPIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY SHROYER LCSW (OWNER)
(570) 701-7364
Entity
Organization
Contact information
Practice address
99 MUTCHLER RD, DANVILLE, PA 17821-7809
(570) 701-7364
Mailing address
99 MUTCHLER RD, DANVILLE, PA 17821-7809
(570) 701-7364
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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