Provider First Line Business Practice Location Address:
650 TEN ROD RD UNIT 13
Provider Second Line Business Practice Location Address:
C/O FAMILY SERVICE OF RHODE ISLAND
Provider Business Practice Location Address City Name:
NORTH KINGSTOWN
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02852-4237
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-331-1350
Provider Business Practice Location Address Fax Number:
401-277-3366
Provider Enumeration Date:
07/02/2009