Nickerson Community Center

LBN: Nickerson Community Center
Nickerson Community Center is an health care organization with primary practice located at 97 Delaine St , Providence RI 02909-2726. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children is the primary health care specialty. Nickerson Community Center can be contacted via phone (401) 383-5672, or through D'Ambra, Lisa via phone (401) 351-2241.

Contact Information

Primary practice address
97 Delaine St Providence RI 02909-2726
Phone: (401) 383-5672
Fax:
Website:
Map and Directions
Authorized official contact:
Name: D'Ambra, Lisa
Phone: (401) 351-2241

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1457549578
LBN Legal business name Nickerson Community Center
DBA Doing business as
Authorized official D'Ambra, Lisa
Entity Organization
Organization subpart 1 No
Enumeration date Oct 15th, 2007
Last updated Oct 15th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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