Organization
SHEILA SMITH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER MORRIS (CEO)
(401) 780-2300
Entity
Organization
Contact information
Practice address
1625 DIAMOND HILL RD, WOONSOCKET, RI 02895-1771
(401) 762-1511
Mailing address
1625 DIAMOND HILL RD, WOONSOCKET, RI 02895-1771
(401) 762-1511
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
RR0217910
RI
Other
Enumeration date
09/14/2012
Last updated
11/21/2012
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