NPI 1992968663

Department of Veterans Affairs

Organisation Psychiatric Hospital Providence, RI

Practice location

Address: 860 Chalkstone Ave, Providence, RI 02902-0001
Phone: (401) 273-7100

Authorised official

Name: Stephen James Boucher
Title: Registered Nurse
Phone: (401) 273-7100

Registered specialties

Psychiatric Hospital Primary

Hospitals Taxonomy 283Q00000X Licence RN38791 (RI)

Other Psychiatric Hospital providers in Rhode Island →

Registry record

NPI: 1992968663
Entity type: Organization
NPI issued: 3 Jul 2008
Record last updated: 3 Jul 2008

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.