Provider Demographics
NPI:1225439466
Name:RIVERVIEW CENTER FOR RECOVERY
Entity Type:Organization
Organization Name:RIVERVIEW CENTER FOR RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CARMEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:SHAW-NIEVES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:740-635-7757
Mailing Address - Street 1:500 MACKEY AVE
Mailing Address - Street 2:
Mailing Address - City:MARTINS FERRY
Mailing Address - State:OH
Mailing Address - Zip Code:43935-1697
Mailing Address - Country:US
Mailing Address - Phone:740-635-7757
Mailing Address - Fax:740-635-7755
Practice Address - Street 1:500 MACKEY AVE
Practice Address - Street 2:
Practice Address - City:MARTINS FERRY
Practice Address - State:OH
Practice Address - Zip Code:43935-1697
Practice Address - Country:US
Practice Address - Phone:740-635-7757
Practice Address - Fax:740-635-7755
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BELMONT PSYCHIATRIC SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-09-08
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350650302084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty