| NPI | 1902085467 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | KAREN E. MAINE Addictions Counselor 401-461-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI LCDP00390) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-10-31 |