JESUS BERRIO

PROVIDENCE, RI
NPI1891209045
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: RI  CDP00716)
Enumeration Date2017-11-27
Last Update Date2017-11-27
Business Address
JESUS BERRIO
530 N MAIN ST
PROVIDENCE, RI 02904-5762
Phone number: 401-276-4100
Mailing Address
JESUS BERRIO
530 N MAIN ST
PROVIDENCE, RI 02904-5762
Phone number: