| NPI | 1841659802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESTON MARTIN Owner 401-523-5856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 251S00000X (Licence: RI MHC00657) | |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2022-11-21 |