| NPI | 1891063319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH H CLARKE-JONES Vice President 401-295-2230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: RI MHC00076) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2011-12-12 |