| NPI | 1780494864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE LESTER Medical Dir. 401-588-4179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-01-10 |
| Last Update Date | 2025-04-21 |