| NPI | 1851126288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MANCINI TEVES Resource Facilitator 401-228-3319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-09-05 |