| NPI | 1013308188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO MANCEBO Director 401-709-2392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: RI ADC00038) |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2015-03-03 |