| NPI | 1730615816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLIE DELISIO Athletic Training Coordinator 401-741-0845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: VA 0126001920) |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2017-05-10 |