Organization
PROVIDENCE METRO TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY KACZMAREK (CONTROLLER)
(407) 351-7080
Entity
Organization
Contact information
Practice address
160 NARRAGANSETT AVE, PROVIDENCE, RI 02907-3367
(401) 941-4488
(401) 941-9797
Mailing address
14050 TOWN LOOP BLVD, SUITE 204, ORLANDO, FL 32837-6190
(407) 351-7080
(407) 351-6930
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
614, 614.1
RI
3336C0002X
Clinic Pharmacy
CMC00033
RI
Other
Enumeration date
05/11/2007
Last updated
12/03/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us