| St. Mary's Home For Children | |
|
420 Fruit Hill Ave North Providence RI 02911-2626 | |
| (401) 353-3900 | |
| (401) 784-3549 |
| Full Name | St. Mary's Home For Children |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 420 Fruit Hill Ave, North Providence, Rhode Island |
| Authorized Official Name and Position | Kimberly Barnett Lafountain (OUTPATIENT CLINICIAN) |
| Authorized Official Contact | 4017843530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Mary's Home For Children 420 Fruit Hill Ave North Providence RI 02911-2626 Ph: (401) 353-3900 | St. Mary's Home For Children 420 Fruit Hill Ave North Providence RI 02911-2626 Ph: (401) 353-3900 |
| NPI Number | 1972677722 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 03/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972677722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHC00274 (Rhode Island) | Primary |
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