Organization · Type 2 NPI
Mental Health Consultant Service
Adult Mental Health Clinic/Center · Providence, RI
NPI number
1104332725
Active
Practice location
400 Reservoir Ave Ste 2G
Providence, RI 02907-3594
Fax (401) 632-4470
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Adult Mental Health Clinic/Center Primary | 261QM0850X | None listed |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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About NPI 1104332725
Mental Health Consultant Service's National Provider Identifier is 1104332725, issued on Dec 19, 2017. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Providence, RI. The record was last updated on Jan 24, 2024.