Organization
SPECIALIZED EDUCATION OF RI
Active
Other names
High Road of Providence
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY CLANCY (SCHOOL DIRECTOR)
(401) 751-5800
Entity
Organization
Contact information
Practice address
100 HOUGHTON ST, PROVIDENCE, RI 02904-1013
(401) 751-5800
(401) 751-5900
Mailing address
100 HOUGHTON ST, PROVIDENCE, RI 02904
(401) 751-5800
(401) 751-5900
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
302F00000X
Exclusive Provider Organization
—
—
Other
Enumeration date
02/29/2008
Last updated
07/23/2008
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