| NPI | 1477447431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA DECOSTA Founder And Clinical Director 401-301-7680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2025-06-04 |
| Last Update Date | 2025-06-04 |