| Seeds For Change | |
|
90 Jefferson Blvd Warwick RI 02888-1045 | |
| (401) 461-2842 | |
| Not Available |
| Full Name | Seeds For Change |
|---|---|
| Speciality | Clinic/Center |
| Location | 90 Jefferson Blvd, Warwick, Rhode Island |
| Authorized Official Name and Position | Christiane Petrin Lambert (LLC MEMBER) |
| Authorized Official Contact | 4017436632 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seeds For Change 54 Briarwood Hill Rd Exeter RI 02822-5031 Ph: (401) 743-6632 | Seeds For Change 90 Jefferson Blvd Warwick RI 02888-1045 Ph: (401) 461-2842 |
| NPI Number | 1265997381 |
|---|---|
| Provider Enumeration Date | 02/02/2019 |
| Last Update Date | 07/09/2019 |
| Medicare PECOS PAC ID | 8527394204 |
|---|---|
| Medicare Enrollment ID | O20190802000497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265997381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Christiane M Petrin Lambert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396262739 PECOS PAC ID: 2466712856 Enrollment ID: I20180202001129 |
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