Organization · Type 2 NPI

Children's Shelter of Blackstone Valley, Inc.

Emotionally Disturbed Childrens' Residential Treatment Facility · Pawtucket, RI

NPI number 1124152392 Active

Practice location

15 Gates St
Pawtucket, RI 02861-3225

Fax (401) 727-2967

Mailing address

15 Gates Street
Pawtucket, RI 02861

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000X40 (RI)

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1124152392

Children's Shelter of Blackstone Valley, Inc.'s National Provider Identifier is 1124152392, issued on Mar 16, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Pawtucket, RI. The record was last updated on Sep 28, 2007.