| NPI | 1891969747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE FACTEAU Credentialing COO Rdinator 401-724-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: RI RI633) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |