Organization
QUIT GENIUS MEDICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHET ALLEN THARPE MD (PHYSICIAN OWNER)
(601) 559-6188
Entity
Organization
Contact information
Practice address
125 WHIPPLE ST, PROVIDENCE, RI 02908-3258
(601) 559-6188
Mailing address
1732 1ST AVE # 20163, NEW YORK, NY 10128-5177
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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