| NPI | 1043996374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN WILFRED BONIN Owner/Provider 401-206-1531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2024-03-28 |