| NPI | 1821120924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERRILL THOMAS President, CEO 401-444-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2025-02-03 |