| NPI | 1154324101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE FACTEAU Credentialing Coordinator 401-724-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: RI Pending) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2020-08-22 |