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