| NPI | 1578077368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DUMAS Owner 401-447-4616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2017-12-01 |