Provider Demographics
NPI: | 1851649909 |
---|---|
Name: | ABOUT FAMILIES CEDARR CENTER |
Entity Type: | Organization |
Organization Name: | ABOUT FAMILIES CEDARR CENTER |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CLINICAL DIRECTOR |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | SARAH |
Authorized Official - Middle Name: | A |
Authorized Official - Last Name: | OSTROM |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | LICSW |
Authorized Official - Phone: | 401-365-6855 |
Mailing Address - Street 1: | 203 CONCORD ST UNIT 335 |
Mailing Address - Street 2: | |
Mailing Address - City: | PAWTUCKET |
Mailing Address - State: | RI |
Mailing Address - Zip Code: | 02860-3478 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 401-365-6855 |
Mailing Address - Fax: | 401-365-6860 |
Practice Address - Street 1: | 203 CONCORD ST UNIT 335 |
Practice Address - Street 2: | |
Practice Address - City: | PAWTUCKET |
Practice Address - State: | RI |
Practice Address - Zip Code: | 02860-3478 |
Practice Address - Country: | US |
Practice Address - Phone: | 401-365-6855 |
Practice Address - Fax: | 401-365-6860 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2012-08-21 |
Last Update Date: | 2012-08-21 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
RI | CSW01339 | 251B00000X |
RI | 251B00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251B00000X | Agencies | Case Management |