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