Organization
SPURWINK RI - PEAKED ROCK ROAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND ARSENAULT (EXECUTIVE DIRECTOR)
(401) 781-4380
Entity
Organization
Contact information
Practice address
33 PEAKED ROCK RD, WAKEFIELD, RI 02879-2380
(401) 783-7001
Mailing address
1 SPURWINK PL, CRANSTON, RI 02910-2012
(401) 781-4380
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
166
MHRH-DDD
RI
05
—
L-9145
—
RI
Enumeration date
04/06/2007
Last updated
08/22/2020
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