Provider Demographics
NPI:1699363432
Name:FRENCH RIVER EDUCATION CENTER
Entity Type:Organization
Organization Name:FRENCH RIVER EDUCATION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICCI
Authorized Official - Middle Name:W
Authorized Official - Last Name:HALL
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:508-987-0219
Mailing Address - Street 1:PO BOX 476
Mailing Address - Street 2:
Mailing Address - City:NORTH OXFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01537-0476
Mailing Address - Country:US
Mailing Address - Phone:508-987-0219
Mailing Address - Fax:508-987-1396
Practice Address - Street 1:672 MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTH OXFORD
Practice Address - State:MA
Practice Address - Zip Code:01537-1304
Practice Address - Country:US
Practice Address - Phone:508-987-0219
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-07
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty