| NPI | 1346275880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN GAUDIOSO Licsw 401-553-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: RI ISW000702) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |