Organization
AMOS HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EILEEN MARY HAYES LICSW (PRESIDENT/CEO)
(401) 272-0220
Entity
Organization
Contact information
Practice address
460 PINE ST, PROVIDENCE, RI 02907-1358
(401) 272-0220
(401) 274-9372
Mailing address
460 PINE ST, PROVIDENCE, RI 02907-1358
(401) 272-0220
(401) 274-9372
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/22/2016
Last updated
07/10/2019
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