Healthcare Provider Details

I. General information

NPI: 1760547582
Provider Name (Legal Business Name): CHILD INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 DRAPER AVENUE
WARWICK RI
02889
US

IV. Provider business mailing address

160 DRAPER AVE
WARWICK RI
02889-5047
US

V. Phone/Fax

Practice location:
  • Phone: 401-732-5200
  • Fax:
Mailing address:
  • Phone: 401-732-5200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberISW00500
License Number StateRI

VIII. Authorized Official

Name: MICHELLE MATHIESEN
Title or Position: CEO
Credential:
Phone: 401-732-5200