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Organization
THE PROVIDENCE CENTER
Active
Organization
THE PROVIDENCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA SOSA (CREDENTIALING SPECIALIST)
(401) 921-7386
Entity
Organization
Contact information
Practice address
90 PLAIN ST, PROVIDENCE, RI 02903-4817
(401) 528-0050
Mailing address
171 SERVICE AVE FL 2, WARWICK, RI 02886-1015
(401) 921-7386
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
631.8
RI
Other
Enumeration date
06/11/2006
Last updated
03/25/2026
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