Department of Veterans Affairs

NPI #1992968663 in Providence, Rhode Island

Provider Information

NPI Number
1992968663
Entity Type
Organization
Organization Name
Department of Veterans Affairs
Primary Specialty
Psychiatric Hospital
Enumeration Date
Jul 3, 2008
Last Updated
Jul 3, 2008

Practice Location

Address
860 CHALKSTONE AVE
ZIP Code
02902-0001
Phone
(401) 273-7100

Authorized Official

Name
STEPHEN JAMES BOUCHER
Title
REGISTERED NURSE
Phone
(401) 273-7100

Specialties & Taxonomy Codes

Specialty
Psychiatric Hospital

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