| NPI | 1992571186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MARIE REGO Executive Director 401-855-0734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2023-11-30 |