| NPI | 1841403136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY J. BRUINS Counselor 401-348-9995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |