Organization
COLLABORATIVE FOR BEHAVIORAL HEALTH
Active
Other names
DENISE M FRAGOZA LICSW,LCDP,CCJP
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE MARIE FRAGOZA MSW,LICSW,LCDP (CLINCAL DIRECTOR)
(401) 245-5395
Entity
Organization
Contact information
Practice address
654 METACOM AVE, WARREN, RI 02885-2300
(401) 245-5395
(401) 245-5395
Mailing address
34 2ND ST, SWANSEA, MA 02777-3203
(508) 324-5282
(401) 245-5395
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDP00146
RI
1041C0700X
Clinical Social Worker
Primary
ISW00719
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CB30596
—
RI
05
—
DF04200
—
RI
Enumeration date
07/17/2006
Last updated
07/09/2008
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