| NPI | 1093848327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK SPICOLA Director 401-294-6160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: RI 616.1) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: RI 616) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2012-11-01 |