| NPI | 1386868040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTE JUNE GALLOGLY Substance Abuse Case Manager Couns 401-235-6078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2022-07-21 |