Provider Demographics
NPI:1275234080
Name:FOUNDATION FOR INTEGRATED CARE
Entity Type:Organization
Organization Name:FOUNDATION FOR INTEGRATED CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:FERSZT
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:401-743-8808
Mailing Address - Street 1:1045 WARWICK AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02888-3657
Mailing Address - Country:US
Mailing Address - Phone:401-743-8808
Mailing Address - Fax:
Practice Address - Street 1:1045 WARWICK AVE STE 101
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02888-3657
Practice Address - Country:US
Practice Address - Phone:401-743-8808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-17
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty