| NPI | 1922395094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER LETENDRE Owner 401-741-3490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI mhc413) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI cdp351) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2011-07-08 |