| NPI | 1275847766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND J. LAVOIE Executive Director 401-729-0080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: RI ACF01528) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2011-11-18 |