Nickerson Community Center
Nickerson Community Center is a Community/Behavioral Health Agency in Providence, Rhode Island. Registered with an NPI since 2007.
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
97 Delaine StProvidence, RI 02909-2726
Phone: (401) 383-5672
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emotionally Disturbed Childrens' Residential Treatment Facility (primary) | Taxonomy 322D00000X |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
Record details
| NPI number | 1457549578 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lisa D'Ambra — Executive Director · (401) 351-2241 |
| NPI enumerated | October 15, 2007 |
| Last updated in NPPES | October 15, 2007 |
| Mailing address | 133 Delaine St, Providence, RI 02909-2728 |
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