Phoenix House Of New England | |
1058 Kingstown Rd Wakefield RI 02879-2487 | |
(401) 783-0782 | |
(401) 783-1154 |
Full Name | Phoenix House Of New England |
---|---|
Speciality | Community/behavioral Health |
Location | 1058 Kingstown Rd, Wakefield, Rhode Island |
Authorized Official Name and Position | Reynard Lorin Bullock (COUNSELOR) |
Authorized Official Contact | 4017830782 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Phoenix House Of New England 1058 Kingstown Rd Wakefield RI 02879-2487 Ph: (401) 783-0782 | Phoenix House Of New England 1058 Kingstown Rd Wakefield RI 02879-2487 Ph: (401) 783-0782 |
NPI Number | 1790804292 |
---|---|
Provider Enumeration Date | 03/28/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790804292 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 00100 (Rhode Island) | Primary |
News Archive
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