| NPI | 1003323221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLYN HECKART Owner 401-324-9194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: RI iSW02100) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-01-09 |