| NPI | 1215478219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY YOUNG VP/CFO 401-444-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: RI ACF01613-01) |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-03-10 |