| NPI | 1821078932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA L GROVER Billing Manager 401-667-6518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: RI RI633) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: RI RI633) |
| 251S00000X (Licence: RI RI633) | |
| 261QM1300X Clinic/Center, Multi-Specialty (Licence: RI RI633) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: RI RI633) | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2022-01-19 |