| NPI | 1013128784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE SHAVERS Director 401-766-3384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172V00000X Community Health Worker | |
| 251S00000X | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2023-08-08 |