| NPI | 1497220412 |
|---|---|
| Doing Business As | PROVIDENCE ACCESS CARE |
| Entity Type | Organization |
| Authorized Contact | JONAH LICHT Owner 401-277-9729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2023-05-09 |