Convocure Therapeutics LLC
NPI #1205688942 in Providence, Rhode Island
Provider Information
- NPI Number
- 1205688942
- Entity Type
- Organization
- Organization Name
- Convocure Therapeutics LLC
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Apr 4, 2024
- Last Updated
- Apr 4, 2024
Practice Location
- Address
- 98 SUMTER ST
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02907-2117
- Phone
- (401) 484-0494
Authorized Official
- Name
- ELIJAH PAGE, LCDC
- Title
- MANAGER
- Phone
- (401) 484-0494
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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