Organization
EMBRACE HEALING PSYCHIATRIC SERVICES, LLC
Active
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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