| NPI | 1588042402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA MARIE MASSEY Owner 401-400-2949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: RI MHC00671) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2019-02-19 |