| NPI | 1366829798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A SWAIN Co Owner 401-632-4045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI ISW 00390) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |