| NPI | 1952651895 |
|---|---|
| Other Name | CENTER FOR SELF CARE CSC |
| Entity Type | Organization |
| Authorized Contact | TIFFANY BOURQUIN CEO/Executive Director 508-962-7364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: RI 00547) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MA 6722) |
| 101YM0800X Counselor Mental Health (Licence: MA 7566) | |
| 101YM0800X Counselor Mental Health (Licence: RI 7566) | |
| 1041C0700X Social Worker Clinical (Licence: RI CSW01724) | |
| 1041C0700X Social Worker Clinical (Licence: RI 02472) | |
| 251S00000X Community/Behavioral Health (Licence: RI MHC00502) | |
| 251S00000X Community/Behavioral Health (Licence: MA 7566) | |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2017-04-26 |