| NPI | 1669408340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE FACTEAU Credentialing Coordinator 401-724-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW01153) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2020-08-22 |