| NPI | 1679909352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER SAMUEL DI TULLIO, S.OL.C. Adminstrator 401-434-0326 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2013-09-25 |