| NPI | 1811615321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT ANTHONY SILVA Owner 401-219-2232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2022-08-19 |