Organization
PHOENIX HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LINDSEY J. BRUINS RCS, LCDP (COUNSELOR)
(401) 348-9995
Entity
Organization
Contact information
Practice address
101 FRANKLIN ST, WESTERLY, RI 02891-3198
(401) 348-9995
(401) 348-9995
Mailing address
101 FRANKLIN ST, WESTERLY, RI 02891-3198
(401) 348-9995
(401) 348-2004
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/07/2007
Last updated
08/22/2020
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