Organization
SAFE INTEGRATION WORKS
Active
Other names
Taiguey Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTICE GOMES (PROVIDER)
(401) 753-8543
Entity
Organization
Contact information
Practice address
109 GARDEN ST, PAWTUCKET, RI 02860-3705
(774) 719-7824
Mailing address
109 GARDEN ST, PAWTUCKET, RI 02860-3705
(401) 753-8543
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/21/2023
Last updated
12/04/2023
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