| NPI | 1417947383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY PION Administrative Director 401-539-2461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 175T00000X Peer Specialist | |
| 251S00000X | |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: RI 2213) | |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2024-02-07 |