Graduated: 2021
NPI: 1922676055
Practice Locations (2)
TRI-COUNTY COMMUNITY ACTION AGENCY
1126 HARTFORD AVE
JOHNSTON, RI 029197130
PROSPECT CHARTERCARE RWMC, LLC
825 CHALKSTONE AVE
PROVIDENCE, RI 029084728
4014562000
Source: CMS National Downloadable File, September 2026.