| NPI | 1265281513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE KENNEDY BRACKETT Clinician/Administrator 401-222-0267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-05-17 |
| Last Update Date | 2024-05-17 |