| NPI | 1568175644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE MARIE FITZGERALD Mental Health Counselor 401-302-4498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2023-01-03 |