| NPI | 1811162316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY P. MIGNEAULT President 401-270-9808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: RI PS00585) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: RI ISW00174) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2017-05-03 |