| NPI | 1427451848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYNN LEE VALLOT Owner 401-253-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI mhc00361) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2014-10-08 |