| NPI | 1912241811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM M MEDEIROS President 401-658-6448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: RI MHC00198) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |