Ethan Place
NPI #1780807347 in Warwick, Rhode Island
Provider Information
- NPI Number
- 1780807347
- Entity Type
- Organization
- Organization Name
- Ethan Place
- Primary Specialty
- Clinic/Center - Recovery Care
- Enumeration Date
- Apr 11, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 85 ETHAN ST
- City
- Warwick
- State
- Rhode Island
- ZIP Code
- 02888-3905
- Phone
- (401) 781-5460
Authorized Official
- Name
- MRS. SANDRA L. LACROSS, RN
- Title
- DIRECTOR
- Phone
- (401) 781-5460
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Recovery Care — Recovery Care |
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