Organization
ST. MARY'S HOME FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNARD J. SMITH MSW (EXECUTIVE DIRECTOR)
(401) 353-3900
Entity
Organization
Contact information
Practice address
420 FRUIT HILL AVE, NORTH PROVIDENCE, RI 02911-2626
(401) 353-3900
(401) 354-7986
Mailing address
420 FRUIT HILL AVE, NORTH PROVIDENCE, RI 02911-2626
(401) 353-3900
(401) 354-7986
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TS0200X
School Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
235Z00000X
Speech-Language Pathologist
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SM02342
—
RI
Enumeration date
08/19/2006
Last updated
04/04/2008
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