| NPI | 1710232921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MICROULIS Administrator 401-222-3182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: RI MD04710) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2012-07-13 |