| The Riverside Community Center, Inc | |
|
43 Fleming St Lincoln ME 04457-1451 | |
| (207) 794-6280 | |
| Not Available |
| Full Name | The Riverside Community Center, Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 43 Fleming St, Lincoln, Maine |
| Authorized Official Name and Position | Donna G. Cowan (ADMINISTRATOR) |
| Authorized Official Contact | 2077942150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Riverside Community Center, Inc 43 Fleming St Lincoln ME 04457-1451 Ph: (207) 794-2150 | The Riverside Community Center, Inc 43 Fleming St Lincoln ME 04457-1451 Ph: (207) 794-6280 |
| NPI Number | 1225006380 |
|---|---|
| Provider Enumeration Date | 03/14/2006 |
| Last Update Date | 04/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225006380 | NPI | - | NPPES |
| 125240000 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 266141 (Maine) | Primary |
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