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Organization
ST. MARY'S HOME FOR CHILDREN
Active
Organization
ST. MARY'S HOME FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNARD J. SMITH MSW (EXECUTIVE DIRECTOR)
(401) 353-3900
Entity
Organization
Contact information
Practice address
420 FRUIT HILL AVE, NORTH PROVIDENCE, RI 02911-2626
(401) 353-3900
(401) 354-7986
Mailing address
420 FRUIT HILL AVE, NORTH PROVIDENCE, RI 02911-2626
(401) 353-3900
(401) 354-7986
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
103TS0200X
School Psychologist
—
NULL
103TS0200X
School Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NULL
323P00000X
Psychiatric Residential Treatment Facility
—
NULL
Other
Enumeration date
08/19/2006
Last updated
04/04/2008
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