Organization
RIVERSIDE COMMUNITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA M COSTIGAN (JAIL DIVERSION CLINICIAN)
(401) 258-1621
Entity
Organization
Contact information
Practice address
34 POTTER ST, PAWTUCKET, RI 02860-4222
(401) 258-1621
Mailing address
34 POTTER ST, PAWTUCKET, RI 02860-4222
(401) 258-1621
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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