NPI | 1053313593 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN CABRAL CFO 401-444-0400 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2005-08-15 |
Last Update Date | 2024-12-05 |