| NPI | 1760547582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MATHIESEN CEO 401-732-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: RI ISW00500) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2026-04-14 |