Organization
CENTRO DE INNOVACION MUJER LATINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVYLEGNA MARIE RODRIGUEZ (DIRECTORA EJECUTIVA)
(401) 390-6816
Entity
Organization
Contact information
Practice address
640 BROAD ST, PROVIDENCE, RI 02907-1463
(401) 390-6816
Mailing address
2597 HARTFORD AVE, JOHNSTON, RI 02919-1620
(401) 390-6816
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
09/05/2025
Last updated
09/23/2025
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