INSTITUTE FOR BEHAVIORAL MEDICINE
Social Work at Pontiac Ave, Cranston, RI

License number
Rhode Island PS00276
Category
Social Work
Type
Clinical
Owner
Name: DR. MICHAEL J FOLLICK PH.D.
Title: PRESIDENT
Phone: (401) 467-2223
Address
Address
1210 Pontiac Ave FLOOR 3RD, Cranston, RI 02920
National Provider ID: 1649636416
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Institute for Behavioral Medicine, Inc

1210 Pontiac Ave, Cranston, RI 02920

Industry:
Psychological Counseling, Specialty Outpatient Clinic Health Practitioner's Office
Doing business as:
Institute For Behavioral Medicine
Registration:
May 10, 1988
Phone:
(401) 461-7547 (Phone)
State ID:
000012551
Business type:
Domestic Profit Corporation
President:
Michael J Follick (President), 22 Emeline St, Providence, RI 02906 (Physical)
Agent:
Edward D. Feldstein, Esq,10 Weybosset St, Providence, RI 02903 (Physical)
Categories:
Licensed Psychologists

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