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Organization

EMBRACE HEALING PSYCHIATRIC SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GHULAM MUSTAFA SURTI MD (PRESIDENT)
(401) 455-6357
Entity
Organization

Contact information

Practice address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
(401) 455-6357
(401) 455-3566
Mailing address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
(401) 455-6357
(401) 455-6566

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD09937
RI

Other

Enumeration date
10/09/2014
Last updated
10/09/2014
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