| NPI | 1811567993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN RABIDEAU Dr 401-203-3221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2021-06-30 |