| NPI | 1699095356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE FORREST Partner 401-228-7866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI MD09629) |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2010-06-04 |