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VICTA LLC

Organization (NPI-2) Active

Internal Medicine, Addiction Medicine

Provider Information

NPI Number
1104317007
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
110 ELMWOOD AVE # A, PROVIDENCE, RI, 02907
Phone
(401) 868-0654

Specialties & Taxonomies

Counselor
Clinic/Center, Mental Health (Including Community Mental Health Center) License: RI #648.01
Clinic/Center, Rehabilitation, Substance Use Disorder License: RI #648.01
Community Health Worker
Psychologist, Addiction (Substance Use Disorder)
Counselor, Addiction (Substance Use Disorder)
Marriage & Family Therapist
Internal Medicine, Infectious Disease
Psychologist, Counseling
Registered Nurse, Ambulatory Care
Counselor, Mental Health
Registered Nurse, Addiction (Substance Use Disorder)
Peer Specialist
Internal Medicine, Addiction Medicine Primary

All Addresses

MAILING

110 ELMWOOD AVE

PROVIDENCE, RI, 029072423

(401) 300-5757

LOCATION

110 ELMWOOD AVE # A

PROVIDENCE, RI, 02907

(401) 868-0654