| NPI | 1750647228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTINE SANDS CFO 401-562-2249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: RI 1502) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2024-05-08 |