| NPI | 1447052923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL JOSEPH WALKER Provider 401-996-6239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-03-26 |
| Last Update Date | 2025-05-16 |