| NPI | 1245712066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER GELINAS Owner/Clinician 401-572-0672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: RI MHC00578) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |