Provider Demographics
NPI:1659726081
Name:SOJOURNER HOUSE
Entity Type:Organization
Organization Name:SOJOURNER HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:VOLZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-861-6191
Mailing Address - Street 1:386 SMITH ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02908-3727
Mailing Address - Country:US
Mailing Address - Phone:401-861-6191
Mailing Address - Fax:401-861-6157
Practice Address - Street 1:386 SMITH ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02908-3727
Practice Address - Country:US
Practice Address - Phone:401-861-6191
Practice Address - Fax:401-861-6157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-04
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251K00000XAgenciesPublic Health or Welfare