location
search-icon
institution
Victa Llc
Methadone Clinic in Providence, Rhode Island
NPI 1457822413

Victa Llc is a Methadone Clinic based in Providence, RI and is specialized in Methadone. Victa Llc practices in Providence, RI. The NPI Number for Victa Llc is 1457822413 and holds a License No. (Rhode Island).

The current practice location address for Victa Llc is 110 Elmwood Ave, Providence, RI and can be reached out via phone at 401-300-5757 and via fax at 401-300-5656.

Location: 110 Elmwood Ave, Providence, RI, 02907-2423
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457822413
Provider Name
Victa Llc
Credential
Provider Entity Type
Organization
Address
110 Elmwood Ave, Providence, RI, 02907-2423
Phone Number
401-300-5757
Fax Number
401-300-5656
Provider Enumeration Date
12/16/2018
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1104317007 05 RI
institution
Provider Business Practice Location Address Details
Address
110 Elmwood Ave
City
Providence
State
Rhode Island
Zip
02907-2423
Phone Number
401-300-5757
Fax Number
401-300-5656
person
Provider Business Mailing Address Details
Address
110 Elmwood Ave
City
Providence
State
Rhode Island
Zip
02907-2423
Phone Number
401-300-5757
Fax Number
401-300-5656
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.