NPI 1124152392

Children's Shelter of Blackstone Valley, INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Pawtucket, RI

Practice location

Address: 15 Gates St, Pawtucket, RI 02861-3225
Phone: (401) 722-4626
Fax: (401) 727-2967
Mailing address: 15 Gates Street, Pawtucket, RI 02861

Authorised official

Name: Eileen F Hernandez
Title: Executive Director
Phone: (401) 722-4626

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 40 (RI)

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Registry record

NPI: 1124152392
Entity type: Organization
NPI issued: 16 Mar 2007
Record last updated: 28 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.