Organization
JUSTICE RESOURCE INSTITUTE, INC
Active
Other names
STEP
Organization subpart
No
Provider details
NPI number
Authorized official
ANDY POND LICSW (PRESIDENT)
(781) 559-4900
Entity
Organization
Contact information
Practice address
818 DYER AVE, CRANSTON, RI 02920-6714
(401) 944-5694
Mailing address
160 GOULD ST, SUITE 300, NEEDHAM, MA 02494-2313
(781) 559-4900
(781) 559-4901
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
296
RI
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
JR04345
—
RI
05
—
JR55240
—
RI
05
—
MB04099
—
RI
05
—
SW04098
—
RI
Enumeration date
02/09/2007
Last updated
03/08/2012
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