Washington Park Citizens Association, Inc. in Providence - Residential Treatment Facility, Emotionally Disturbed Children

Washington Park Citizens Association, Inc. - NPI 1245362185

Washington Park Citizens Association, Inc. is a Residential Treatment Facility, Emotionally Disturbed Children in Providence, Rhode Island. Washington Park Citizens Association, Inc. practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Washington Park Citizens Association, Inc. is 1245362185. The last update date is 2020-08-22.

Washington Park Citizens Association, Inc.'s current location address is 42 Jillson St, Providence, Rhode Island. You can contact this provider via phone number 4014616650 and fax number 4017815262. The mailing address for Washington Park Citizens Association, Inc. is 42 Jillson St, Providence, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Organization Washington Park Citizens Association, Inc.
Address 42 Jillson St, Providence, Rhode Island
Phone Number 4014616650
Fax Number 4017815262
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Murphy P Frances
Telephone Number 4014616650

NPI Number Detail

NPI Number 1245362185
Provider Enumeration Date 2007-03-09
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 42 Jillson St
City Providence
State Rhode Island (RI)
Post Code 29052904
Phone Number 4014616650
Fax Number 4017815262

Provider's Primary Taxonomy Detail

Speciality Residential Treatment Facility, Emotionally Disturbed Children
Taxonomy 322D00000X
Licence No 43530
Definition:
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
WP03247 RI RESIDENTIAL CHILD SHEL

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FAQs about Washington Park Citizens Association, Inc.

What is the Washington Park Citizens Association, Inc.'s 1245362185?

The Washington Park Citizens Association, Inc.'s NPI (National Provider Identifier) Number is 1245362185. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Washington Park Citizens Association, Inc. is physically located?

The Washington Park Citizens Association, Inc. is situated at the following address: 42 Jillson St, Providence, RI 29052904.

What is Washington Park Citizens Association, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Washington Park Citizens Association, Inc.'s specialized field of practice is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this area of specialization is 322D00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1245362185 to Washington Park Citizens Association, Inc.?

The Washington Park Citizens Association, Inc. received its 1245362185 assignment from the Centers for Medicare & Medicaid Services on 2007-03-09.

As of what date were the Washington Park Citizens Association, Inc.'s details last updated?

The information pertaining to the Washington Park Citizens Association, Inc., including its address, specialty, and other details, was most recently updated on 2020-08-22.

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