| Irie Transitional Program | |
|
55 S Brow St East Providence RI 02914-4433 | |
| (401) 497-8109 | |
| (401) 349-5160 |
| Full Name | Irie Transitional Program |
|---|---|
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
| Location | 55 S Brow St, East Providence, Rhode Island |
| Authorized Official Name and Position | Amanda Dee Tumminelli (CEO) |
| Authorized Official Contact | 4014978109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Irie Transitional Program 55 S Brow St East Providence RI 02914-4433 Ph: (401) 497-8109 | Irie Transitional Program 55 S Brow St East Providence RI 02914-4433 Ph: (401) 497-8109 |
| NPI Number | 1871780908 |
|---|---|
| Provider Enumeration Date | 10/03/2007 |
| Last Update Date | 10/03/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871780908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Rhode Island) | Secondary |
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | (Rhode Island) | Primary |
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