| NPI | 1982162855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEDAMOLA O SOLAWON Lcca 401-316-5562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2019-03-08 |