Organization
COUNSELING & PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYBETH BRISSETTE (OFFICE MANAGER)
(401) 751-5575
Entity
Organization
Contact information
Practice address
203 GOVERNOR ST, PROVIDENCE, RI 02906-3221
(401) 751-5575
Mailing address
203 GOVERNOR ST, PROVIDENCE, RI 02906-3221
(401) 751-5575
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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