| NPI | 1154348803 |
|---|---|
| Doing Business As | DENISE M FRAGOZA LICSW,LCDP,CCJP |
| Entity Type | Organization |
| Authorized Contact | DENISE MARIE FRAGOZA Clincal Director 401-245-5395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW00719) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI CDP00146) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2008-07-09 |