| NPI | 1992021653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE HALBURIAN Fiscal Director 401-784-8647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2010-04-20 |