Organization
TANNERHILL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARK LAMBOY (EXECUTIVE DIRECTOR)
(401) 568-3650
Entity
Organization
Contact information
Practice address
35 HIGH ST, PASCOAG, RI 02859-2620
(401) 568-3650
(401) 568-4207
Mailing address
PO BOX 414, 35 HIGH STREET, PASCOAG, RI 02859-0414
(401) 568-3650
(401) 568-4207
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
T103861
RI
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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