Organization
COMMUNITY COUNSELING PARTNERSHIPS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ELTZ (CO-OWNER)
(401) 714-7440
Entity
Organization
Contact information
Practice address
340 BROADWAY, PROVIDENCE, RI 02909-1102
(401) 714-7440
Mailing address
340 BROADWAY, PROVIDENCE, RI 02909-1102
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
10/08/2024
Last updated
12/11/2024
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