| NPI | 1487391173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRINE GUILHERME FUJAH Owner 401-414-4781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2025-08-20 |