| NPI | 1063959740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK P TREAT President 401-684-1064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 1041C0700X Social Worker, Clinical | |
| 146L00000X Emergency Medical Technician, Paramedic | |
| 146N00000X Emergency Medical Technician, Basic | |
| 207R00000X Internal Medicine | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2017-01-19 |