| NPI | 1275767238 |
|---|---|
| Other Name | ONE BUTLER AVENUE PROVIDENCE RI 02906 |
| Entity Type | Organization |
| Authorized Contact | KIM HAVUNEN Owner 401-725-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine (Licence: RI 709003141) |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2009-05-06 |