| 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 |