Provider Demographics
NPI:1689723462
Name:RHODE ISLAND COLLEGE
Entity Type:Organization
Organization Name:RHODE ISLAND COLLEGE
Other - Org Name:EDUCATIONAL ADVOCATE PROGRAM
Other - Org Type:Other Name
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:ANTOSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-456-8409
Mailing Address - Street 1:600 MT. PLEASANT AVENUE
Mailing Address - Street 2:ALUMNI HOUSE AT RHODE ISLAND COLLEGE
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02908-1991
Mailing Address - Country:US
Mailing Address - Phone:401-456-1943
Mailing Address - Fax:401-456-1979
Practice Address - Street 1:600 MOUNT PLEASANT AVE
Practice Address - Street 2:ALUMNI HOUSE AT RHODE ISLAND COLLEGE
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02908-1940
Practice Address - Country:US
Practice Address - Phone:401-456-1943
Practice Address - Fax:401-456-1979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management