| NPI | 1013309996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY D/ CLEARY Owner 401-578-9411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 001567) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 007924) |
| 106H00000X Marriage & Family Therapist (Licence: CT 001722) | |
| 101YP2500X Counselor, Professional (Licence: CT 002725) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 000617) | |
| 101YM0800X Counselor, Mental Health (Licence: CT 002725) | |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2016-05-17 |