Organization
INTERNATIONAL INSTITUTE OF RI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE HALBURIAN (FISCAL DIRECTOR)
(401) 784-8647
Entity
Organization
Contact information
Practice address
645 ELMWOOD AVE, PROVIDENCE, RI 02907-3313
(401) 784-8647
Mailing address
645 ELMWOOD AVE, PROVIDENCE, RI 02907-3313
(401) 784-8647
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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