| NPI | 1861528242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W GAVRITY CFO 401-331-1350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2022-07-21 |