| NPI | 1851120828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE MOORE Owner 401-441-2501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-07-29 |