| NPI | 1255774576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER SAMUEL DI TULLIO, SDC Administrator 401-434-0326 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2013-04-17 |