| NPI | 1639628993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK LOUIS PAOLUCCI Dentist 401-333-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: RI DEN03270) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2016-09-28 |