# BLACKSTONE VALLEY YOUTH & FAMILY COLLABORATIVE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295919900
- **Authorized official:** MR. DANIEL A BRITO (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (401) 475-2121

## Contact information

- **Practice address:** 209 COTTAGE ST, PAWTUCKET, RI 02860-3026
- **Practice address phone:** (401) 475-2121
- **Practice address fax:** (401) 475-2255
- **Mailing address:** 209 COTTAGE ST, PAWTUCKET, RI 02860-3026
- **Mailing address phone:** (401) 475-2121
- **Mailing address fax:** (401) 475-2255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/18/2007
- **Last updated:** 06/06/2011