| NPI | 1811025026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD N MANCINI Clinical Director 401-253-7575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: RI MHC00001) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |