| NPI | 1104764422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISSANNY NAZARIO Independent Clinical Social Worker 401-996-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2026-03-25 |
| Last Update Date | 2026-03-25 |