Organization
UNITED CEREBRAL PALSY OF RHODE ISLAND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KARL P PROVOST (DIRECTOR OF FINANCE, CFO)
(401) 728-1800
Entity
Organization
Contact information
Practice address
200 MAIN ST, SUITE 210, PAWTUCKET, RI 02860-4119
(401) 728-1800
(401) 728-0182
Mailing address
200 MAIN ST, SUITE 210, PAWTUCKET, RI 02860-4119
(401) 728-1800
(401) 728-0182
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1082590
NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND
RI
01
—
UC54151
DCYF FUNDING
RI
Enumeration date
03/13/2007
Last updated
05/15/2012
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