| NPI | 1508985110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID C. REISS Executive Director 401-245-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: RI 183) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |