| NPI | 1962912923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DUMAS President 401-447-4616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2017-10-04 |