Provider Demographics
NPI:1801946157
Name:OAKMONT CLINICAL SERVICES, INC
Entity type:Organization
Organization Name:OAKMONT CLINICAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:AIRES
Authorized Official - Last Name:BRITO
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:401-475-2121
Mailing Address - Street 1:209 COTTAGE ST
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-3026
Mailing Address - Country:US
Mailing Address - Phone:401-475-2121
Mailing Address - Fax:401-475-2255
Practice Address - Street 1:209 COTTAGE ST
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-3026
Practice Address - Country:US
Practice Address - Phone:401-475-2121
Practice Address - Fax:401-475-2255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health