| NPI | 1407713480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIHANOT LAWAL Program Manager 401-369-3743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2026-01-09 |
| Last Update Date | 2026-01-09 |