| NPI | 1750062436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD COFFIN Licensed Mental Health Counselor 401-206-0493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2023-08-26 |