NPI | 1386374015 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDON ST. PIERRE Clinical Director 401-781-7000 |
Organization Subpart ? | No |
Primary Taxonomy | 251K00000X Public Health or Welfare |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
251S00000X Community/Behavioral Health | |
Enumeration Date | 2022-06-15 |
Last Update Date | 2022-06-15 |