| NPI | 1780082743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISHA BOURDEAU Director Of Finance 401-275-5039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: RI CDP00575) |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2014-12-08 |