| NPI | 1285766584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A. CIPOLLA Director Of Finance & Operations 401-475-8009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: RI 42507 601.1) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: RI 42507 601.1) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: RI 42507 601.1) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: RI 42507 601.3) | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: RI 42507 601.1) | |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2008-02-28 |