| NPI | 1073666913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA DEMPSTER Owner 401-935-9784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: RI ISW01537) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |