| NPI | 1104317007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER DONOYAN CEO 401-300-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease |
| 261QM0801X (Licence: RI 648.01) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: RI 648.01) | |
| 101Y00000X Counselor | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TC1900X Psychologist, Counseling | |
| 106H00000X Marriage & Family Therapist | |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) | |
| 163WP2201X Registered Nurse, Ambulatory Care | |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2019-02-21 |