| NPI | 1902295199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA SORENSEN Co Owner 401-932-6820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI cdp00271) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-12 |