| NPI | 1245617422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERMAN J FALU Substance Abuse Therapist 401-523-7520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-04-27 |