| NPI | 1942520861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILIA M DIETZLER Owner 401-273-2858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW00899) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2010-06-02 |