Whalio Doctors

NPI 1093062903

About Families, Cedarr

Organisation Community/Behavioral Health Agency Pawtucket, RI

Practice location

Address
203 Concord St Suite 335, Pawtucket, RI 02860-3477
Phone
(401) 365-6855
Fax
(401) 365-6860

Authorised official

Name
Michael Cancilliere
Title
Clinical Director
Phone
(401) 365-6855

Registered specialties

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X Licence CSW01345 (RI)

Registry record

NPI
1093062903
Entity type
Organization
NPI issued
9 Aug 2012
Record last updated
9 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.