# PROVIDENCE COMMUNITY ACUPUNCTURE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467864884
- **Authorized official:** CRIS MONTEIRO DAC. (OWNER/MANAGER)
- **Authorized official phone:** (401) 272-2288

## Contact information

- **Practice address:** 22 PARSONAGE ST, PROVIDENCE, RI 02903-4732
- **Practice address phone:** (401) 272-2288
- **Mailing address:** 1055 WESTMINSTER ST, 1ST FLOOR, PROVIDENCE, RI 02903-4022
- **Mailing address phone:** (401) 272-2288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/21/2014
- **Last updated:** 04/27/2016