Organization
CHARLES STREET COMMUNITY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO MANCEBO M.A. (DIRECTOR)
(401) 272-3252
Entity
Organization
Contact information
Practice address
663 CHARLES ST, PROVIDENCE, RI 02904-1350
(401) 272-3252
Mailing address
663 CHARLES ST, PROVIDENCE, RI 02904-1350
(401) 272-3252
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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