| NPI | 1992522460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE NICOLE CARTIER COO Rdinator Of Third Party Billing 401-559-5396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2024-09-25 |