| NPI | 1841071909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHRYN MAINVILLE Partner And Treatment Provider 401-588-1274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-10-13 |
| Last Update Date | 2023-10-15 |