| NPI | 1912029430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M LASKY Finance Director 401-847-0960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: RI 164) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |