| NPI | 1609239920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RILWAN FEYISITAN CEO 401-437-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: RI ACF01574) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: RI ACF01574) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2023-05-11 |