| NPI | 1588358790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH JEAN PINCINCE Administrator 401-770-3813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2023-06-08 |