| NPI | 1700906419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUANN S GALLANT Office Manager 401-823-5410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |