| NPI | 1003540824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELENA DANIELLE MARSHALL Co Owner 401-871-2379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-07-16 |
| Last Update Date | 2024-02-22 |