| NPI | 1952993438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN J BURROWS Corporate Officer 401-209-0902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-02-06 |
| Last Update Date | 2021-02-18 |