Search › Rhode Island › 101YA0400X

Roosevelt Dale

NPI 1962375477 · on the registry since 2025 · sole proprietor

Practice

Address
806 Greenville Ave
Johnston, RI 02919
Phone
(401) 516-1314
Organisation at this address
Peerpoint Recovery Residences
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
172V00000X
Licence states on file
RI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-12-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island