Provider Demographics
NPI:1790958411
Name:RIVERWAY COMMUNITIES OF HOPE
Entity Type:Organization
Organization Name:RIVERWAY COMMUNITIES OF HOPE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD SECRETARY/ TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:M
Authorized Official - Last Name:SCHMITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-537-2921
Mailing Address - Street 1:PO BOX 555
Mailing Address - Street 2:
Mailing Address - City:MUSCODA
Mailing Address - State:WI
Mailing Address - Zip Code:53573-0555
Mailing Address - Country:US
Mailing Address - Phone:608-929-4970
Mailing Address - Fax:
Practice Address - Street 1:125 N IOWA ST
Practice Address - Street 2:
Practice Address - City:MUSCODA
Practice Address - State:WI
Practice Address - Zip Code:53573-9021
Practice Address - Country:US
Practice Address - Phone:608-929-4970
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-03
Last Update Date:2008-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty