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Gina M. Iaciofano, Llc
Community/Behavioral Health Agency in North Providence, Rhode Island
NPI 1437417839

Gina M. Iaciofano, Llc is a Community/Behavioral Health Agency based in North Providence, RI. Gina M. Iaciofano, Llc practices in North Providence, RI. The NPI Number for Gina M. Iaciofano, Llc is 1437417839 and holds a License No. ISW02121 (Rhode Island).

The current practice location address for Gina M. Iaciofano, Llc is 1920 Mineral Spring Ave, North Providence, RI and can be reached out via phone at 401-497-6500. You can also correspond with Gina M. Iaciofano, Llc through the mailing address at 1920 MINERAL SPRING AVE, NORTH PROVIDENCE, RI - 02904-3742 (mailing address contact number: 401-497-6500).

Location: 1920 Mineral Spring Ave, North Providence, RI, 02904-3742
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437417839
Provider Name
Gina M. Iaciofano, Llc
Credential
Provider Entity Type
Organization
Address
1920 Mineral Spring Ave, North Providence, RI, 02904-3742
Phone Number
401-497-6500
Fax Number
Provider Enumeration Date
04/24/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002186701 01 RI MEDICARE
GI84855 05 RI
institution
Provider Business Practice Location Address Details
Address
1920 Mineral Spring Ave
City
North Providence
State
Rhode Island
Zip
02904-3742
Phone Number
401-497-6500
Fax Number
person
Provider Business Mailing Address Details
Address
1920 Mineral Spring Ave
City
North Providence
State
Rhode Island
Zip
02904-3742
Phone Number
401-497-6500
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
ISW02121 (Rhode Island)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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