| NPI | 1821711458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHLIP MICHAEL WILSON Director 401-525-0965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2022-09-20 |