Provider Demographics
NPI:1124585427
Name:UNITED CEREBRAL PALSY OF RHODE ISLAND, INC.
Entity Type:Organization
Organization Name:UNITED CEREBRAL PALSY OF RHODE ISLAND, INC.
Other - Org Name:NEW ENGLAND WELLNESS COLLABORATIVE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF CLINICAL OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:KRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:VASCONCELOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-812-0613
Mailing Address - Street 1:1 RICHMOND SQ STE 321W
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-5156
Mailing Address - Country:US
Mailing Address - Phone:508-812-0613
Mailing Address - Fax:
Practice Address - Street 1:1 RICHMOND SQ STE 321W
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-5156
Practice Address - Country:US
Practice Address - Phone:508-812-0613
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-23
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health