| NPI | 1790920668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D. DAPONTE Owner 401-383-7647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: RI 000039MHC) |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2008-12-08 |