| NPI | 1609253335 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JUSTINE SANDS CFO 401-562-2249 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: RI 1502) | 
| Enumeration Date | 2015-05-01 | 
| Last Update Date | 2024-05-08 |