| Northeast Substance Abuse Professionals, Llc | |
|
411 Shannock Rd Wakefield RI 02879-4750 | |
| (401) 209-0902 | |
| Not Available |
| Full Name | Northeast Substance Abuse Professionals, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 411 Shannock Rd, Wakefield, Rhode Island |
| Authorized Official Name and Position | Jonathan J Burrows (CORPORATE OFFICER) |
| Authorized Official Contact | 4012090902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Substance Abuse Professionals, Llc 411 Shannock Rd Wakefield RI 02879-4750 Ph: (401) 209-0902 | Northeast Substance Abuse Professionals, Llc 411 Shannock Rd Wakefield RI 02879-4750 Ph: (401) 209-0902 |
| NPI Number | 1952993438 |
|---|---|
| Provider Enumeration Date | 02/06/2021 |
| Last Update Date | 02/18/2021 |
| Certification Date | 02/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952993438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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