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