| NPI | 1588673347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERELISE A HITTE CFO 401-331-1244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2019-09-06 |