Provider Demographics
NPI:1518298926
Name:NEWPORT COUNTY WOMENS RESOURCE CENTER
Entity Type:Organization
Organization Name:NEWPORT COUNTY WOMENS RESOURCE CENTER
Other - Org Name:WOMEN'S RESOURCE CENTER OF NEWPORT & BRISTOL COUNTIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:N
Authorized Official - Last Name:DIPERSIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-846-5263
Mailing Address - Street 1:114 TOURO ST
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:RI
Mailing Address - Zip Code:02840-2967
Mailing Address - Country:US
Mailing Address - Phone:401-846-5263
Mailing Address - Fax:
Practice Address - Street 1:114 TOURO ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:RI
Practice Address - Zip Code:02840-2967
Practice Address - Country:US
Practice Address - Phone:401-846-5263
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-25
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health