| NPI | 1023289048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER F MORRIS COO 401-780-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: IL A72600001A) |
| Additional Taxonomies | 261QM2800X Clinic/Center Methadone (Licence: IL A72600001A) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |