| NPI | 1003042094 |
|---|---|
| Other Name | 2140 MENDON ROAD |
| Entity Type | Organization |
| Authorized Contact | KIM HAVUNEN Owner 401-725-9666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2009-06-03 |