| NPI | 1528845864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER POHLE Authorized User 401-680-0616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2025-12-22 |