NICKERSON COMMUNITY CENTER is a residential treatment facility emotionally disturbed children in Providence, RI. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. NICKERSON COMMUNITY CENTER NPI is 1457549578. The provider is registered as an organization entity type.
The provider's business location address is:
97 DELAINE ST
PROVIDENCE, RI
ZIP 02909-726
Phone: (401) 383-5672
The provider's authorized official is Lisa D'ambra .
The authorized official title is Executive Director and has the following contact phone number (401) 351-2241.
The enumeration date for this NPI number is 10/15/2007 and was last updated on 10/15/2007.