Organization
BLACKSTONE VALLEY YOUTH & FAMILY COLLABORATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL A BRITO (EXECUTIVE DIRECTOR)
(401) 475-2121
Entity
Organization
Contact information
Practice address
209 COTTAGE ST, PAWTUCKET, RI 02860-3026
(401) 475-2121
(401) 475-2255
Mailing address
209 COTTAGE ST, PAWTUCKET, RI 02860-3026
(401) 475-2121
(401) 475-2255
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251FC00000X
—
RI
Enumeration date
12/18/2007
Last updated
06/06/2011
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