VICTA LLC

Clinic/Center - Methadone

Active Organization
NPI: 1457822413

Practice Address

110 ELMWOOD AVE
Providence, RI 02907

Phone: (401) 300-5757

Specialties

Specialty Code Primary License
Clinic/Center - Methadone 261QM2800X Yes -

Frequently Asked Questions

NPI 1457822413 is the National Provider Identifier for VICTA LLC, a Clinic/Center - Methadone provider located in Providence, RI. This NPI was enumerated on December 16, 2018.

Quick Facts

NPI
1457822413
Type
Organization
Enumerated
Dec 16, 2018
Last Updated
Feb 21, 2019

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