Provider Demographics
NPI:1669773321
Name:CLINICAL SERVICES OF RHODE ISLAND INC
Entity type:Organization
Organization Name:CLINICAL SERVICES OF RHODE ISLAND INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:REINHARD
Authorized Official - Middle Name:WALTER
Authorized Official - Last Name:STRAUB
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:401-741-5109
Mailing Address - Street 1:600 PUTNAM PIKE
Mailing Address - Street 2:SUITE #7
Mailing Address - City:GREENVILLE
Mailing Address - State:RI
Mailing Address - Zip Code:02828-1486
Mailing Address - Country:US
Mailing Address - Phone:401-741-5109
Mailing Address - Fax:
Practice Address - Street 1:600 PUTNAM PIKE
Practice Address - Street 2:SUITE #7
Practice Address - City:GREENVILLE
Practice Address - State:RI
Practice Address - Zip Code:02828-1486
Practice Address - Country:US
Practice Address - Phone:401-741-5109
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-12
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISO017301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty