| NPI | 1114378098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA SUSAN RUDNER President 401-573-9905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW02235) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 116924) |
| 1041C0700X Social Worker, Clinical (Licence: MD 15954) | |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2016-06-22 |