NPI | 1578052056 |
---|---|
Entity Type | Organization |
Authorized Contact | STASIA DOMPKOWSKI-MANN Owner 401-692-9390 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2018-05-09 |
Last Update Date | 2018-05-09 |