Organization
THE FOGARTY CENTER.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID C REISS (EXECUTIVE DIRECTOR)
(401) 245-7900
Entity
Organization
Contact information
Practice address
310 MAPLE AVE STE 102, BARRINGTON, RI 02806-3431
(401) 245-7900
(401) 245-7910
Mailing address
310 MAPLE AVE STE 102, BARRINGTON, RI 02806-3431
(401) 245-7900
(401) 245-7910
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
183
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS54895
BHDDH - STATE OF RI
RI
Enumeration date
06/22/2011
Last updated
01/03/2017
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