| NPI | 1023732039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLEIGH HOULKER Owner 401-489-6463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2022-10-03 |