Organization · Type 2 NPI

Providence Va Medical Center

Adult Mental Health Clinic/Center · Providence, RI

NPI number 1114940681 Active

Practice location

830 Chalkstone Avenue
Providence, RI 02098-4799

Call (401) 273-7100 Map

Fax (401) 457-3354

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center Primary 261QM0850X18598 (RI)

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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About NPI 1114940681

Providence Va Medical Center's National Provider Identifier is 1114940681, issued on Jul 25, 2006. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Providence, RI. The record was last updated on Aug 22, 2020.