Whalio Doctors

NPI 1477978476

Prospect Chartercare Rwmc, LLC

Organisation Psychiatric Hospital Unit Providence, RI

Practice location

Address
825 Chalkstone Ave, Providence, RI 02908-4728
Phone
(401) 456-2000
Fax
(401) 456-2029

Authorised official

Name
Robert Jon Elders
Title
Secretary
Phone
(714) 788-1249

Registered specialties

Psychiatric Hospital Unit Primary
Hospital Units Taxonomy 273R00000X Licence HOS00108 (RI)

Registry record

NPI
1477978476
Entity type
Organization
NPI issued
27 Feb 2014
Record last updated
11 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.