| NPI | 1396492864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN AUBUT Clinical Mental Health Counselor 401-241-4039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-03-04 |
| Last Update Date | 2022-03-04 |