| NPI | 1619310927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM M GERIBO Manager 401-580-6461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW01512) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2013-04-17 |