NPI | 1457479545 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID C REISS Executive Director 401-245-7900 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: RI 149) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2020-08-22 |