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Organization
CHILDREN'S SHELTER OF BLACKSTONE VALLEY, INC.
Active
Organization
CHILDREN'S SHELTER OF BLACKSTONE VALLEY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EILEEN F HERNANDEZ MS (EXECUTIVE DIRECTOR)
(401) 722-4626
Entity
Organization
Contact information
Practice address
15 GATES ST, PAWTUCKET, RI 02861-3225
(401) 722-4626
(401) 727-2967
Mailing address
15 GATES STREET, PAWTUCKET, RI 02861
(401) 722-4626
(401) 727-2967
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
40
RI
Other
Enumeration date
03/16/2007
Last updated
09/28/2007
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