Organization
TRAINING THRU PLACEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN JOSEPH CAPOBIANCO (EXECUTIVE DIRECTOR)
(401) 353-0220
Entity
Organization
Contact information
Practice address
20 MARBLEHEAD AVE, NORTH PROVIDENCE, RI 02904-4248
(401) 353-0220
(401) 353-8126
Mailing address
20 MARBLEHEAD AVE, NORTH PROVIDENCE, RI 02904-4248
(401) 353-0220
(401) 353-8126
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
10
RI
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2007
Last updated
06/15/2011
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