Organization
ABOUT FAMILIES, CEDARR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CANCILLIERE (CLINICAL DIRECTOR)
(401) 365-6855
Entity
Organization
Contact information
Practice address
203 CONCORD ST, SUITE 335, PAWTUCKET, RI 02860-3477
(401) 365-6855
(401) 365-6860
Mailing address
203 CONCORD ST, SUITE 335, PAWTUCKET, RI 02860-3477
(401) 365-6855
(401) 365-6860
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CSW01345
RI
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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