| Key Program, Inc. | |
|
623 Atwells Ave Suite 201-d Providence RI 02909-7403 | |
| (401) 861-2680 | |
| (401) 751-6641 |
| Full Name | Key Program, Inc. |
|---|---|
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
| Location | 623 Atwells Ave, Providence, Rhode Island |
| Authorized Official Name and Position | Marcia Allen (ADMINISTRATIVE SUPERVISOR) |
| Authorized Official Contact | 4018612680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Key Program, Inc. 670 Old Connecticut Path Framingham MA 01701-4548 Ph: (508) 877-3690 | Key Program, Inc. 623 Atwells Ave Suite 201-d Providence RI 02909-7403 Ph: (401) 861-2680 |
| NPI Number | 1649395583 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649395583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Rhode Island) | Primary |
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | (Rhode Island) | Primary |
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