| NPI | 1558488973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES W HEFFNER Director 401-849-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW00936) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2008-07-22 |