| NPI | 1457395998 |
|---|---|
| Doing Business As | ROGER WILLIAMS ADDICTION MEDICINE |
| Entity Type | Organization |
| Authorized Contact | KENNETH BELCHER President, CEO 401-456-2025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: RI HOS00108) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: RI HOS00108) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2013-03-13 |