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Organization
WHITESTONE LIFE CENTER INC
Active
Organization
WHITESTONE LIFE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERMAN J FALU JR. LCDP LCDS (SUBSTANCE ABUSE THERAPIST)
(401) 523-7520
Entity
Organization
Contact information
Practice address
475 CRANSTON ST, PROVIDENCE, RI 02907-2744
(401) 523-7520
Mailing address
475 CRANSTON ST, PROVIDENCE, RI 02907-2744
(401) 523-7520
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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