| NPI | 1396865259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE JAMES MANKO General Partner 401-737-6436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106H00000X Marriage & Family Therapist | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 103TC0700X Psychologist, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2007-04-01 |
| Last Update Date | 2020-08-22 |