| NPI | 1437417839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA M IACIOFANO Clinical Social Worker 401-497-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: RI ISW02121) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-04-24 |