| NPI | 1659839785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA L TOBIN Mental Health Counselor 401-297-2218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-03-07 |