| NPI | 1861256588 |
|---|---|
| Other Name | CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | SUZETTE DURAND CFO 401-400-6514 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-02-13 |