Organization
IRIE TRANSITIONAL PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA DEE TUMMINELLI MBA (CEO)
(401) 497-8109
Entity
Organization
Contact information
Practice address
55 S BROW ST, EAST PROVIDENCE, RI 02914-4433
(401) 497-8109
(401) 349-5160
Mailing address
55 S BROW ST, EAST PROVIDENCE, RI 02914-4433
(401) 497-8109
(401) 349-5160
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
RI
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
RI
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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