| NPI | 1770244055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGGIE SULLIVAN Licensed Mental Health Counselor 401-474-6829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2022-01-07 |