institution
R.i.s.a.t., Llc
Substance Use Disorder Rehabilitation Clinic/Center in Providence, Rhode Island
NPI 1174521488

R.i.s.a.t., Llc is a Substance Use Disorder Rehabilitation Clinic/Center based in Carlsbad, RI and is specialized in Rehabilitation, Substance Use Disorder. R.i.s.a.t., Llc practices in Providence, RI. The NPI Number for R.i.s.a.t., Llc is 1174521488 and holds a License No. 608 (Rhode Island).

The current practice location address for R.i.s.a.t., Llc is 66 Pavilion Ave, Providence, RI and can be reached out via phone at 401-461-9110 and via fax at 401-461-9194.

Location: 66 Pavilion Ave, Providence, RI, 92011-1151
institution
Provider Profile Details
NPI Number
1174521488
Provider Name
R.i.s.a.t., Llc
Credential
Provider Entity Type
Organization
Address
66 Pavilion Ave, Providence, RI, 92011-1151
Phone Number
401-461-9110
Fax Number
401-461-9194
Provider Enumeration Date
07/11/2005
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
84-10032 01 RI UNITED HEALTHCARE
SP02546 05 RI
1017610 01 RI BEACON HEALTH STRATEGIES
410268 01 RI BLUECHIP RITECARE
institution
Provider Business Practice Location Address Details
Address
66 Pavilion Ave
City
State
Zip
02905-1522
Phone Number
401-461-9110
Fax Number
401-461-9194
person
Provider Business Mailing Address Details
Address
66 Pavilion Ave
City
State
Zip
02905-1522
Phone Number
401-461-9110
Fax Number
401-461-9194
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
608 (Rhode Island)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
608 (Rhode Island)
Definition
Definition to come...
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