| NPI | 1689471831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMI RENE JARVIS Owner 401-481-7196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-02-26 |
| Last Update Date | 2025-02-26 |