Children's Shelter of Blackstone Valley, Inc.

NPI #1124152392 in Pawtucket, Rhode Island

Provider Information

NPI Number
1124152392
Entity Type
Organization
Organization Name
Children's Shelter of Blackstone Valley, Inc.
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
Mar 16, 2007
Last Updated
Sep 28, 2007

Practice Location

Address
15 GATES ST
ZIP Code
02861-3225
Phone
(401) 722-4626

Authorized Official

Name
MRS. EILEEN F HERNANDEZ, MS
Title
EXECUTIVE DIRECTOR
Phone
(401) 722-4626

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Emotionally Disturbed Children

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