| NPI | 1952523417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAZARO P. MENDOZA Diretor Of Community Services 401-783-0782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI LCDCS 00003) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |