NPI 1639476617
Mentor Abi
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
Developmentally Disabled Services Day Training Agency
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.