| High Road Of Providence | |
|
100 Houghton St Providence RI 02904-1013 | |
| (401) 751-5800 | |
| (401) 751-5900 |
| Full Name | High Road Of Providence |
|---|---|
| Speciality | Social Worker - School |
| Location | 100 Houghton St, Providence, Rhode Island |
| Authorized Official Name and Position | Anthony Clancy (SCHOOL DIRECTOR) |
| Authorized Official Contact | 4017515800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| High Road Of Providence 100 Houghton St Providence RI 02904 Ph: (401) 751-5800 | High Road Of Providence 100 Houghton St Providence RI 02904-1013 Ph: (401) 751-5800 |
| NPI Number | 1124297536 |
|---|---|
| Provider Enumeration Date | 02/29/2008 |
| Last Update Date | 07/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124297536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041S0200X | Social Worker - School | (* (Not Available)) | Primary |
| 302F00000X | Exclusive Provider Organization | (* (Not Available)) | Secondary |
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