| NPI | 1992058580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE RACKLEY-JOSEPH Member And Licensed Psychotherapist 401-294-9323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW02018) |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2012-10-19 |