Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
207QA0401X | 08 | Physician/Family Practice | |
Clinic/Center |
261Q00000X | |||
Health Service |
261QH0100X | |||
Rehabilitation, Substance Use Disorder |
261QR0405X |
| NPI Number | 1225549298 |
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| LBN Legal business name | CARE CENTER RHODE ISLAND LLC | ||||||||
| Authorized official | LISA ROSSI - (OFFICE MANAGER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 10/18/2017 | ||||||||
| Last updated | 05/16/2018 - About 8 years ago | ||||||||
| Identifiers |
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