| Capital City | |
|
25 Danforth St Providence RI 02908-3610 | |
| (401) 455-3890 | |
| (401) 861-0656 |
| Full Name | Capital City |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 25 Danforth St, Providence, Rhode Island |
| Authorized Official Name and Position | Scott Dichristofero (VICE PRESIDENT - FINANCE) |
| Authorized Official Contact | 4017248400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital City 25 Danforth St Providence RI 02908-3610 Ph: (401) 455-3890 | Capital City 25 Danforth St Providence RI 02908-3610 Ph: (401) 455-3890 |
| NPI Number | 1528352424 |
|---|---|
| Provider Enumeration Date | 06/08/2011 |
| Last Update Date | 06/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528352424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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