| NPI | 1154919496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINA M COSTA Social Worker 401-400-2023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 104100000X Social Worker | |
| 1041S0200X Social Worker School | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2021-01-11 |