Provider Demographics
NPI:1396861126
Name:CORLISS INSTITUTE, INC.
Entity Type:Organization
Organization Name:CORLISS INSTITUTE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:HOCKHOUSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-245-3609
Mailing Address - Street 1:292 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:RI
Mailing Address - Zip Code:02885-4344
Mailing Address - Country:US
Mailing Address - Phone:401-245-3609
Mailing Address - Fax:401-245-9565
Practice Address - Street 1:292 MAIN ST
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:RI
Practice Address - Zip Code:02885-4344
Practice Address - Country:US
Practice Address - Phone:401-245-3609
Practice Address - Fax:401-245-9565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services