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
410 FARNUM PIKE, SMITHFIELD, RI 02917-1015
(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
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
45855
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GC 02764
—
RI
Enumeration date
01/08/2007
Last updated
11/20/2023
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