Provider Demographics
NPI:1871325704
Name:RIVERMONT SCHOOLS
Entity type:Organization
Organization Name:RIVERMONT SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVICDER ENROLLMENT & PAYER CONTRA
Authorized Official - Prefix:
Authorized Official - First Name:DEENA
Authorized Official - Middle Name:S
Authorized Official - Last Name:GREENBLATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-525-4271
Mailing Address - Street 1:2 VILLAGE SQ STE 210
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21210-1624
Mailing Address - Country:US
Mailing Address - Phone:410-487-9966
Mailing Address - Fax:410-415-5188
Practice Address - Street 1:2 VILLAGE SQ STE 210
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21210-1624
Practice Address - Country:US
Practice Address - Phone:410-487-9966
Practice Address - Fax:410-415-5188
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SH VARSITY ACQUISIONS SUB LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health