NPI 1225169832

Cranston Arc

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Providence, RI

Practice location

Address: 129 Moorefield St, Providence, RI 02909-4837
Phone: (401) 941-1112
Fax: (401) 941-2516
Mailing address: 111 Comstock Pkwy, Cranston, RI 02921-2002

Authorised official

Name: Pat Coppage
Title: Financial Director
Phone: (401) 941-1112

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence 30 (RI)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Rhode Island →

Registry record

NPI: 1225169832
Entity type: Organization
NPI issued: 7 Mar 2007
Record last updated: 22 Aug 2020

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.