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. You can also correspond with R.i.s.a.t., Llc through the mailing address at 6183 PASEO DEL NORTE STE 200, CARLSBAD, CA - 92011-1151 (mailing address contact number: 615-861-6000).

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
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
410268 01 RI BLUECHIP RITECARE
SP02546 05 RI
84-10032 01 RI UNITED HEALTHCARE
1017610 01 RI BEACON HEALTH STRATEGIES
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
6183 Paseo Del Norte Ste 200
City
State
Zip
92011-1151
Phone Number
615-861-6000
Fax Number
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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