IndividualActive
Kathryn Mottau
NPI 1649636291 · Community/Behavioral Health Agency · Providence, RI
Provider details
- NPI number
- 1649636291
- Entity type
- Individual
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
- License
- ISW02521 (RI)
Specialties & taxonomies
Agencies
Practice location
610 Manton Ave
Providence, RI 02909-5633
Phone: (401) 274-6310
Approximate (ZIP-level) locationGet directions
Mailing address
106 Martha St
Pawtucket, RI 02860-1515
Registry dates
- Enumerated
- 2016-01-12
- Last updated
- 2016-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.