| NPI | 1114370285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUELEM COSTA ROSALINO Social Worker 401-419-4846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW02631) |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2016-07-13 |