| NPI | 1144093691 |
|---|---|
| Doing Business As | TRI-COUNTY CAA HEALTH CENTER PEDIATRIC DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOSEPH R DESANTIS President/CEO 401-519-1976 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2024-03-01 |