| NPI | 1578608113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W GAVRITY CFO 401-331-1350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2022-07-21 |