| International Institute Of Ri | |
|
645 Elmwood Ave Providence RI 02907-3313 | |
| (401) 784-8647 | |
| Not Available |
| Full Name | International Institute Of Ri |
|---|---|
| Speciality | Case Management |
| Location | 645 Elmwood Ave, Providence, Rhode Island |
| Authorized Official Name and Position | Dale Halburian (FISCAL DIRECTOR) |
| Authorized Official Contact | 4017848647 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| International Institute Of Ri 645 Elmwood Ave Providence RI 02907-3313 Ph: (401) 784-8647 | International Institute Of Ri 645 Elmwood Ave Providence RI 02907-3313 Ph: (401) 784-8647 |
| NPI Number | 1992021653 |
|---|---|
| Provider Enumeration Date | 04/20/2010 |
| Last Update Date | 04/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992021653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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