| NPI | 1225549298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ROSSI Office Manager 401-431-9024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: RI RI06534) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: RI RI06534) |
| 261QH0100X Clinic/Center, Health Services (Licence: RI RI06534) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: RI RI06534) | |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2018-05-16 |