Whalio Doctors

NPI 1639476617

Mentor Abi

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Charlestown, RI

Practice location

Address
4119 S County Trl, Charlestown, RI 02813-3847
Phone
(401) 364-8717
Mailing address
639 Granite St, Braintree, MA 02184-5366

Authorised official

Name
Mary Patricia Rodenberg-Roberts
Title
Vp & Sr Asst General Counsel
Phone
(952) 836-2234

Registered specialties (2)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X
Developmentally Disabled Services Day Training Agency
Agencies Taxonomy 251C00000X

Registry record

NPI
1639476617
Entity type
Organization
NPI issued
28 Feb 2011
Record last updated
29 Dec 2025

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.