| NPI | 1841323094 |
|---|---|
| Doing Business As | SSTARBIRTH |
| Entity Type | Organization |
| Authorized Contact | DIANE GOUVEIA Program Director 401-463-6001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: RI 617) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: RI 617.1) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2014-04-08 |