| NPI | 1023359122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER C LETENDRE Clinical Director 401-741-3490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: RI 612) |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2013-03-14 |