| Providence Metro Treatment Center | |
|
160 Narragansett Ave Providence RI 02907-3367 | |
| (401) 941-4488 | |
| (401) 941-9797 |
| Full Name | Providence Metro Treatment Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 160 Narragansett Ave, Providence, Rhode Island |
| Authorized Official Name and Position | Larry Kaczmarek (CONTROLLER) |
| Authorized Official Contact | 4073517080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Metro Treatment Center 14050 Town Loop Blvd Suite 204 Orlando FL 32837-6190 Ph: (407) 351-7080 | Providence Metro Treatment Center 160 Narragansett Ave Providence RI 02907-3367 Ph: (401) 941-4488 |
| NPI Number | 1851506091 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 12/03/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851506091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 614, 614.1 (Rhode Island) | Primary |
| 3336C0002X | Pharmacy - Clinic Pharmacy | CMC00033 (Rhode Island) | Secondary |
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