| Family Service Fo Rhode Island Inc. | |
|
55 Hope St Providence RI 02906-2001 | |
| (401) 331-1350 | |
| (401) 277-3378 |
| Full Name | Family Service Fo Rhode Island Inc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 55 Hope St, Providence, Rhode Island |
| Authorized Official Name and Position | Michael W Gavrity (CFO) |
| Authorized Official Contact | 4013311350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Service Fo Rhode Island Inc. 55 Hope St Providence RI 02906-2001 Ph: (401) 331-1350 | Family Service Fo Rhode Island Inc. 55 Hope St Providence RI 02906-2001 Ph: (401) 331-1350 |
| NPI Number | 1578608113 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578608113 | NPI | - | NPPES |
| 408218 | Other | RI | BLUE CHIP C-FIT |
| FS02375 | Medicaid | RI | |
| 6961 | Other | RI | BLUE CROSS C-FIT SERVICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (Rhode Island) | Primary |
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