| NPI | 1679638530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN ANN CARTY President 401-615-0648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: RI ISW01152) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2020-08-22 |