Whalio Doctors

NPI 1992884787

Phoenix Houses of New England, INC.

Organisation Substance Abuse Rehabilitation Facility Providence, RI

Practice location

Address
99 Wayland Ave Suite 100, Providence, RI 02906-4314
Phone
(401) 331-4250
Fax
(401) 421-5520

Authorised official

Name
Peter Mumma
Title
President/ Ceo
Phone
(401) 331-4250

Registered specialties (15)

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence CMC 00028 (RI)
Addiction (Substance Use Disorder) Counselor
Behavioral Health & Social Service Providers Taxonomy 101YA0400X
Mental Health Counselor
Behavioral Health & Social Service Providers Taxonomy 101YM0800X
Clinical Social Worker
Behavioral Health & Social Service Providers Taxonomy 1041C0700X
Marriage & Family Therapist
Behavioral Health & Social Service Providers Taxonomy 106H00000X
Addiction Medicine (Family Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 207QA0401X
Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X
Addiction Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0802X
Substance Abuse Rehabilitation Facility
Residential Treatment Facilities Taxonomy 324500000X Licence 621 (RI)
Substance Abuse Rehabilitation Facility
Residential Treatment Facilities Taxonomy 324500000X Licence 02725 (NH)
Substance Abuse Rehabilitation Facility
Residential Treatment Facilities Taxonomy 324500000X Licence 0296 (MA)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X
Psychiatric/Mental Health Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0808X

Registry record

NPI
1992884787
Entity type
Organization
NPI issued
3 Nov 2006
Record last updated
9 Apr 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.