NPI | 1790227932 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSHUA PERRY Director Of Clinical Services 401-353-8884 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: RI PT01788) |
Enumeration Date | 2016-11-04 |
Last Update Date | 2016-11-04 |