| NPI | 1275037236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISY BLANCO-MERCADO Clinical Social Worker 401-787-3928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: RI ICSW01995) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2018-03-22 |