Organization
KCRS YOUTH EMPOWERMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASANDRA DOZIER (EXECUTIVE DIRECTOR)
(401) 470-5494
Entity
Organization
Contact information
Practice address
43 MONTCALM RD, WARWICK, RI 02889-4311
(401) 470-5494
Mailing address
PO BOX 28805, PROVIDENCE, RI 02908-0805
(401) 470-5494
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/30/2026
Last updated
07/30/2026
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