Organization Name: | SOUTHERN RI REGIONAL COLLABORATIVE |
NPI Number: | 1194865964 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LIZANN R GIBSON (EXECUTIVE DIRECTOR) |
Mailing Address: | 646 Camp Ave North Kingstown |
State: | RI US |
Postal Code: | 028524008 |
Phone Number: | 4012952888 |
Fax Number: | 4012953232 |
NPI Enumeration Date: | 02/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YS0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | School |
Taxonomy Definition: |