# ST. MARY'S HOME FOR CHILDREN

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

## Provider details

- **NPI number:** 1770698011
- **Authorized official:** BERNARD J. SMITH MSW (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (401) 353-3900

## Contact information

- **Practice address:** 420 FRUIT HILL AVE, NORTH PROVIDENCE, RI 02911-2626
- **Practice address phone:** (401) 353-3900
- **Practice address fax:** (401) 354-7986
- **Mailing address:** 420 FRUIT HILL AVE, NORTH PROVIDENCE, RI 02911-2626
- **Mailing address phone:** (401) 353-3900
- **Mailing address fax:** (401) 354-7986

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 08/19/2006
- **Last updated:** 04/04/2008