| NPI | 1821730433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA W COMBES President 401-400-2506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2022-04-13 |