| NPI | 1831518661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER STRAVATO Clinical Director 401-447-5928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: RI MHC00583) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-12-02 |