| NPI | 1457199614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IOLANDA L DA LUZ Mental Health Professional 401-588-0121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 102L00000X Psychoanalyst | |
| 106H00000X Marriage & Family Therapist | |
| 171400000X | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2024-07-19 |
| Last Update Date | 2024-07-19 |