NPI | 1104332725 |
---|---|
Entity Type | Organization |
Authorized Contact | CRISTIANA MORENA RITWIK Owner 401-632-4470 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2017-12-19 |
Last Update Date | 2024-01-24 |