Organization · Type 2 NPI

Vita Nova LLC

Substance Use Disorder Rehabilitation Clinic/Center · Providence, RI

NPI number 1376938654 Active

Practice location

66 Pavilion Ave
Providence, RI 02905-1522

Call (401) 780-2300 Map

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XLIC 12-14-15588 (UT)

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

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About NPI 1376938654

Vita Nova LLC's National Provider Identifier is 1376938654, issued on Apr 2, 2015. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Providence, RI. The record was last updated on Apr 2, 2015.