| NPI | 1992884787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER MUMMA President/ CEO 401-331-4250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: RI CMC 00028) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 207QA0401X Family Medicine Addiction Medicine | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: RI 621) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: NH 02725) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: MA 0296) | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2021-04-09 |