Organization
CARE CENTER RHODE ISLAND LLC
Active
Organization
CARE CENTER RHODE ISLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ROSSI (OFFICE MANAGER)
(401) 431-9024
Entity
Organization
Contact information
Practice address
400 WARREN AVE, EAST PROVIDENCE, RI 02914
(401) 431-9024
(401) 431-9027
Mailing address
400 WARREN AVE, EAST PROVIDENCE, RI 02914-3826
(401) 431-9024
(401) 431-9027
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
RI06534
RI
261Q00000X
Clinic/Center
RI06534
RI
261QH0100X
Health Service Clinic/Center
RI06534
RI
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
RI06534
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7007002
—
RI
Enumeration date
10/18/2017
Last updated
05/16/2018
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