NPI 1871780908
Irie Transitional Program
Practice location
- Address
- 55 S Brow St, East Providence, RI 02914-4433
- Phone
- (401) 497-8109
- Fax
- (401) 349-5160
Authorised official
- Name
- Amanda Dee Tumminelli
- Title
- Ceo
- Phone
- (401) 497-8109
Registered specialties (2)
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
Community/Behavioral Health Agency
Registry record
- NPI
- 1871780908
- Entity type
- Organization
- NPI issued
- 3 Oct 2007
- Record last updated
- 3 Oct 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.