| NPI | 1003045782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN ELAINE SERRA Executive Director 401-789-9390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: RI 611) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2022-08-22 |