| NPI | 1598300212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN WILFRED BONIN Owner 401-206-1531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2023-12-26 |