| NPI | 1508373655 |
|---|---|
| Doing Business As | RIVERSIDE MIDDLE SCHOOL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | SCOTT WHITTEMORE CFO 802-885-7344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-01-10 |