| NPI | 1609818210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA RICHARD Practice Administrator 401-528-0140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: RI 631.8) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2020-08-22 |