| NPI | 1255732111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE LOUISE MARTIN Sole Member 401-354-9372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI 000638ISW) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2014-09-10 |