| Convocure Therapeutics Llc | |
|
98 Sumter St Providence RI 02907-2117 | |
| (401) 484-0494 | |
| Not Available |
| Full Name | Convocure Therapeutics Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 98 Sumter St, Providence, Rhode Island |
| Authorized Official Name and Position | Elijah Page (MANAGER) |
| Authorized Official Contact | 4014840494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Convocure Therapeutics Llc 98 Sumter St Providence RI 02907-2117 Ph: () - | Convocure Therapeutics Llc 98 Sumter St Providence RI 02907-2117 Ph: (401) 484-0494 |
| NPI Number | 1205688942 |
|---|---|
| Provider Enumeration Date | 04/04/2024 |
| Last Update Date | 04/04/2024 |
| Certification Date | 04/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205688942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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