| NPI | 1104801349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN E BURKE VP Of Finance 401-455-6275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: RI HOS00124) |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2023-10-06 |