| NPI | 1861991481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSSI PEREZ Licensed Mental Health Counselor 401-862-7292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13781) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2022-11-18 |