Healthcare Provider Details

I. General information

NPI: 1033484936
Provider Name (Legal Business Name): NORTH AMERICAN FAMILY INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2012
Last Update Date: 03/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 GRACE ST
CRANSTON RI
02910-2034
US

IV. Provider business mailing address

71 GRACE ST
CRANSTON RI
02910-2034
US

V. Phone/Fax

Practice location:
  • Phone: 401-270-6156
  • Fax: 401-270-2316
Mailing address:
  • Phone: 401-270-6156
  • Fax: 401-270-2316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. HILDY PARIS
Title or Position: CEO
Credential:
Phone: 508-878-6046