| NPI | 1104219625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE M HANSON Director 401-741-0853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MHC00663) |
| Enumeration Date | 2015-03-08 |
| Last Update Date | 2015-03-08 |