Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Children's Shelter of Blackstone Valley, Inc

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1124152392

Children's Shelter of Blackstone Valley, Inc is an Emotionally Disturbed Childrens' Residential Treatment Facility in Pawtucket, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2007.

Licensed in
RI
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15 Gates St
Pawtucket, RI 02861-3225
Phone: (401) 722-4626
Fax: (401) 727-2967
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X · Licence 40 (RI)

Record details

NPI number1124152392
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eileen Hernandez — Executive Director · (401) 722-4626
NPI enumeratedMarch 16, 2007
Last updated in NPPESSeptember 28, 2007
Mailing address15 Gates Street, Pawtucket, RI 02861

Other providers in Pawtucket