| NPI | 1043550353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE CHENETTE Therapist 401-207-2212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: RI MHC00513) |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2013-02-22 |