| NPI | 1699795104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY M. LOOKER CEO/Owner 401-434-2146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone |
| Additional Taxonomies | 261QM2800X Clinic/Center Methadone (Licence: RI 506) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-01-02 |