| NPI | 1164822474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH K HORGAN Facility Executive Director 401-294-6160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2024-06-10 |