South County Trail Group Home

NPI #1245365311 in Charlestown, Rhode Island

Provider Information

NPI Number
1245365311
Entity Type
Organization
Organization Name
South County Trail Group Home
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Feb 22, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
4661 S COUNTY TRL
ZIP Code
02813-3428
Phone
(401) 364-7461

Authorized Official

Name
MS. ELLEN R NELSON
Title
DIRECTOR
Phone
(401) 462-6001

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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