Organization
FAMILY SERVICE OF RHODE ISLAND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHYLLIS R PELLETIER (CHIEF FINANCIAL OFFICER)
(401) 331-1350
Entity
Organization
Contact information
Practice address
55 HOPE ST, PROVIDENCE, RI 02906-2001
(401) 331-1350
(401) 277-3366
Mailing address
9 PLEASANT ST, PROVIDENCE, RI 02906-1715
(401) 331-1350
(401) 277-3366
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050258558
MHN
—
01
—
050285585
VALUE OPTIONS
—
01
—
1021740
NEIGHBORHOOD HEALTH
—
01
—
410842
BLUE CHIP
—
05
—
9009638
—
RI
01
—
9638
BLUE CROSS BLUE SHIELD
—
Enumeration date
11/30/2006
Last updated
03/10/2023
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