Providence Metro Treatment Center
Providence Metro Treatment Center is a Community/Behavioral Health Agency in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2007.
- Licensed in
- RI
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
160 Narragansett AveProvidence, RI 02907-3367
Phone: (401) 941-4488
Fax: (401) 941-9797
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence 614, 614.1 (RI) |
|---|---|
| Clinic Pharmacy | Taxonomy 3336C0002X · Licence CMC00033 (RI) |
Record details
| NPI number | 1851506091 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Larry Kaczmarek — Controller · (407) 351-7080 |
| NPI enumerated | May 11, 2007 |
| Last updated in NPPES | December 3, 2007 |
| Mailing address | 14050 Town Loop Blvd, Suite 204, Orlando, FL 32837-6190 |
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