| NPI | 1639799539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK MOREAU Vice President/Director 401-996-4379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2020-04-21 |