Organization
ST. MARY'S HOME FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY BARNETT LAFOUNTAIN LMHC (OUTPATIENT CLINICIAN)
(401) 784-3530
Entity
Organization
Contact information
Practice address
420 FRUIT HILL AVE, NORTH PROVIDENCE, RI 02911-2626
(401) 353-3900
(401) 784-3549
Mailing address
420 FRUIT HILL AVE, NORTH PROVIDENCE, RI 02911-2626
(401) 353-3900
(401) 784-3549
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHC00274
RI
Other
Enumeration date
11/20/2006
Last updated
03/21/2008
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