| NPI | 1245365311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN R NELSON Director 401-462-6001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: RI 40) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |