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Organization

THE CORLISS INSTITUTE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARY E WAMBACH (EXECUTIVE DIRECTOR)
(401) 245-3609
Entity
Organization

Contact information

Practice address
292 MAIN ST, WARREN, RI 02885-4344
(401) 245-3609
Mailing address
292 MAIN ST, WARREN, RI 02885-4344
(401) 245-3609

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
55238
CONVERSION WAIVER
RI
Enumeration date
06/27/2011
Last updated
06/27/2011
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