| NPI | 1154351211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE FACTEAU Credentialing Coordiantor 401-724-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW01235) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-08-22 |