| NPI | 1780768234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIGNA MARRERO Senior Administrator 401-272-0660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251S00000X (Licence: RI 615.1) |
| 251B00000X Case Management | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2009-10-09 |