Healthcare Provider Details

I. General information

NPI: 1093414443
Provider Name (Legal Business Name): THE ROBERT GREY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2023
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 TECHNOLOGY WAY
WEST GREENWICH RI
02817-1713
US

IV. Provider business mailing address

51 TECHNOLOGY WAY
WEST GREENWICH RI
02817-1713
US

V. Phone/Fax

Practice location:
  • Phone: 401-474-0062
  • Fax: 401-472-9669
Mailing address:
  • Phone: 401-474-0062
  • Fax: 401-472-9669

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: BETHANY CORREIA
Title or Position: OWNER
Credential:
Phone: 401-525-0328