Healthcare Provider Details

I. General information

NPI: 1568587368
Provider Name (Legal Business Name): THE AUTISM PROJECT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 10/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1516 ATWOOD AVE
JOHNSTON RI
02919-3223
US

IV. Provider business mailing address

1516 ATWOOD AVE
JOHNSTON RI
02919-3223
US

V. Phone/Fax

Practice location:
  • Phone: 401-785-2666
  • Fax: 401-785-2272
Mailing address:
  • Phone: 401-785-2666
  • Fax: 401-785-2272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. JOANNE QUINN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 401-785-2666