| NPI | 1588001085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN EDWARD ANZIVINO Clinical Social Worker 401-225-2224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW00123) |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2013-05-24 |