| NPI | 1821114844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK PAUL Business Manager 401-767-2711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: RI TP04128) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |