Organization
MENTOR ABI
Active
Organization
MENTOR ABI
Active
Other names
NeuroRestorative Rhode Island
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PATRICIA RODENBERG-ROBERTS (VP & SR ASST GENERAL COUNSEL)
(952) 836-2234
Entity
Organization
Contact information
Practice address
4119 S COUNTY TRL, CHARLESTOWN, RI 02813-3847
(401) 364-8717
Mailing address
639 GRANITE ST, BRAINTREE, MA 02184-5366
(781) 356-6330
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/28/2011
Last updated
12/29/2025
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