| NPI | 1720014442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNE MALONE Director Of Finance 401-533-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| 261QM3000X Clinic/Center Medically Fragile Infants and Children Day Care | |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2008-02-15 |