Graduated: 2010
NPI: 1740711407
Practice Locations (2)
THE PROVIDENCE COMMUNITY HEALTH CENTERS INC.
1 RANDALL SQ
PROVIDENCE, RI 029042709
4012746339
THE PROVIDENCE COMMUNITY HEALTH CENTERS INC.
31 ATWOOD ST
PROVIDENCE, RI 029093410
4014440590
Source: CMS National Downloadable File, September 2026.