Organization
AMOS HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EILEEN MARY HAYES LICSW (CEO)
(401) 274-9372
Entity
Organization
Contact information
Practice address
460 PINE ST, PROVIDENCE, RI 02907-1358
(401) 274-9372
Mailing address
460 PINE ST, PROVIDENCE, RI 02907-1358
(401) 274-9372
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
251B00000X
Case Management Agency
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
03/20/2017
Last updated
03/25/2025
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