institution
Vita Nova Llc
Substance Use Disorder Rehabilitation Clinic/Center in Providence, Rhode Island
NPI 1376938654

Vita Nova Llc is a Substance Use Disorder Rehabilitation Clinic/Center based in Providence, RI and is specialized in Rehabilitation, Substance Use Disorder. Vita Nova Llc practices in Providence, RI. The NPI Number for Vita Nova Llc is 1376938654 and holds a License No. LIC 12-14-15588 (Rhode Island).

The current practice location address for Vita Nova Llc is 66 Pavilion Ave, Providence, RI and can be reached out via phone at 401-780-2300. You can also correspond with Vita Nova Llc through the mailing address at 66 PAVILION AVE, PROVIDENCE, RI - 02905-1522 (mailing address contact number: ).

Location: 66 Pavilion Ave, Providence, RI, 02905-1522
institution
Provider Profile Details
NPI Number
1376938654
Provider Name
Vita Nova Llc
Credential
Provider Entity Type
Organization
Address
66 Pavilion Ave, Providence, RI, 02905-1522
Phone Number
401-780-2300
Fax Number
Provider Enumeration Date
04/02/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
66 Pavilion Ave
City
State
Zip
02905-1522
Phone Number
401-780-2300
Fax Number
person
Provider Business Mailing Address Details
Address
66 Pavilion Ave
City
State
Zip
02905-1522
Phone Number
401-780-2300
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
LIC 12-14-15588 (Utah)
Definition
Definition to come...
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