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Organization

TIDES FAMILY SERVICES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BETH ANN BIXBY LICSW (COO)
(401) 822-1360
Entity
Organization

Contact information

Practice address
215 WASHINGTON ST, WEST WARWICK, RI 02893-5017
(401) 822-1360
Mailing address
215 WASHINGTON ST, WEST WARWICK, RI 02893-5017
(401) 822-1360

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
TF02792
RI
Enumeration date
12/29/2006
Last updated
06/16/2016
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