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Organization

ARTS, SPORTS, AND TECHNOLOGY RESOURCE ORGANIZATION

Active
Other names
Take CoMMAnd Academy, ASTRO, Take CoMMAnd
Organization subpart
No

Provider details

NPI number
Authorized official
JUSTIN HENRY PASQUAZZI (FOUNDER/PRESIDENT)
(401) 808-5687
Entity
Organization

Contact information

Practice address
175 COYLE AVE, PAWTUCKET, RI 02861-1007
(401) 255-2911
Mailing address
408 PRINCESS AVE, CRANSTON, RI 02920-7064
(401) 255-2911

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
102X00000X
Poetry Therapist
103T00000X
Psychologist
104100000X
Social Worker
133N00000X
Nutritionist
163W00000X
Registered Nurse
221700000X
Art Therapist
225X00000X
Occupational Therapist
251C00000X
Developmentally Disabled Services Day Training Agency
251S00000X
Community/Behavioral Health Agency
251V00000X
Voluntary or Charitable Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QS1000X
Student Health Clinic/Center
385H00000X
Respite Care
405300000X
Prevention Professional

Other

Enumeration date
12/22/2018
Last updated
12/22/2018
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