| NPI | 1124297536 |
|---|---|
| Doing Business As | HIGH ROAD OF PROVIDENCE |
| Entity Type | Organization |
| Authorized Contact | ANTHONY CLANCY School Director 401-751-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-07-23 |