Healthcare Provider Details
I. General information
NPI: 1770792467
Provider Name (Legal Business Name): CARITAS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/21/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1545 PONTIAC AVE
CRANSTON RI
02920-4407
US
IV. Provider business mailing address
1545 PONTIAC AVE
CRANSTON RI
02920-4407
US
V. Phone/Fax
- Phone: 401-463-8829
- Fax:
- Phone: 401-463-8829
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MEREDITH
DENNO
Title or Position: DIRECTOR OF PROGRAMS
Credential:
Phone: 401-722-4644