Organization
HARBOR HOUSE
Active
Other names
Providence Clubhouse Development Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RALPH A. LORD (EXECUTIVE DIRECTOR)
(401) 273-5100
Entity
Organization
Contact information
Practice address
12 BASSETT ST, PROVIDENCE, RI 02903-4206
(401) 273-5100
(401) 273-5107
Mailing address
12 BASSETT ST, PROVIDENCE, RI 02903-4206
(401) 273-5100
(401) 273-5107
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
638.01
RI
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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