| NPI | 1457905606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANINE-TRINH LE-KREUZER Owner/Therapist 401-235-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-07-26 |