| NPI | 1366476707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY NIXON Lcds 401-766-1665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI LCDS) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |