| Tri-town Substance Abuse Program | |
|
1126 Hartford Ave Johnston RI 02919-7130 | |
| (401) 351-2750 | |
| (401) 351-6613 |
| Full Name | Tri-town Substance Abuse Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1126 Hartford Ave, Johnston, Rhode Island |
| Authorized Official Name and Position | Joseph R Desantis (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4013512750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-town Substance Abuse Program 1126 Hartford Ave Johnston RI 02919-7130 Ph: (401) 351-2750 | Tri-town Substance Abuse Program 1126 Hartford Ave Johnston RI 02919-7130 Ph: (401) 351-2750 |
| NPI Number | 1053514935 |
|---|---|
| Provider Enumeration Date | 06/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053514935 | NPI | - | NPPES |
| TT37326 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 619 (Rhode Island) | Primary |
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