| NPI | 1144509720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA M COUTO Substance Abuse Counselor 401-762-1511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 1032) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2011-08-12 |