OrganizationActive
Vita Nova LLC
NPI 1376938654 · Substance Use Disorder Rehabilitation Clinic/Center · Providence, RI
Provider details
- NPI number
- 1376938654
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Discovery House Group Inc
- Organization subpart
- Yes
- Authorized official
- Peter Morris, Chief Financial & Operating Officer(401) 780-2300
- License
- LIC 12-14-15588 (UT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
66 Pavilion Ave
Providence, RI 02905-1522
Phone: (401) 780-2300
Approximate (ZIP-level) locationGet directions
Mailing address
66 Pavilion Ave
Providence, RI 02905-1522
Registry dates
- Enumerated
- 2015-04-02
- Last updated
- 2015-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.