| NPI | 1154287597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LIMA GARCIA Behavioral Health Clinician 401-400-2471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-12-30 |
| Last Update Date | 2025-12-30 |