| NPI | 1487923793 |
|---|---|
| Other Name | PINE GROVE HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | PETER J BANCROFT CFO 401-285-5119 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2011-12-16 |