| Avatar Residential Inc. | |
|
33 College Hill Rd Building 33 Warwick RI 02886-2776 | |
| (401) 826-7500 | |
| (401) 826-7503 |
| Full Name | Avatar Residential Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 33 College Hill Rd, Warwick, Rhode Island |
| Authorized Official Name and Position | Kathleen A Ellis (VICE PRESIDENT) |
| Authorized Official Contact | 4018267500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avatar Residential Inc. 33 College Hill Rd Building 33 Warwick RI 02886-2776 Ph: (401) 826-7500 | Avatar Residential Inc. 33 College Hill Rd Building 33 Warwick RI 02886-2776 Ph: (401) 826-7500 |
| NPI Number | 1366569030 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366569030 | NPI | - | NPPES |
| AI54337 | Other | RI | PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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