Organization · Type 2 NPI
Home Port Therapy
Adult Mental Health Clinic/Center · Peace Dale, RI
NPI number
1740460872
Active
Practice location
23 North Rd Ste A25
Peace Dale, RI 02879-2176
Fax (401) 783-1154
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | MFT00100 (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.
Another provider at this address
About NPI 1740460872
Home Port Therapy's National Provider Identifier is 1740460872, issued on Nov 6, 2007. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Peace Dale, RI. The record was last updated on Nov 6, 2007.