| NPI | 1649714023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SILVIA M BORGES Behavior Specialist 401-309-6318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: RI OJ6013789) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2016-12-05 |