| NPI | 1902199805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA M COSTIGAN Jail Diversion Clinician 401-258-1621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2011-05-25 |