Organization
GRODEN CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE TOE (CFO)
(401) 274-6310
Entity
Organization
Contact information
Practice address
86 MOUNT HOPE AVE, PROVIDENCE, RI 02906-1648
(401) 274-6310
(401) 421-1077
Mailing address
610 MANTON AVE, PROVIDENCE, RI 02909-5633
(401) 274-6310
(401) 421-1077
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GC02400
—
RI
05
—
GC55757
—
RI
Enumeration date
03/21/2007
Last updated
11/20/2023
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