| NPI | 1417374562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT RAYMOND LOBELLO Clinical Social Worker 401-399-9662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: RI ISW01303) |
| Additional Taxonomies | 251B00000X Case Management (Licence: RI ISW01303) |
| 251K00000X Public Health or Welfare (Licence: RI ISW01303) | |
| 251S00000X (Licence: RI ISW01303) | |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2014-03-26 |