| NPI | 1992173371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MARIE AVERSA Administrative Manager 401-383-8349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI mhc00156) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 101Y00000X Counselor (Licence: RI ISW01147) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI CDP00312) | |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2015-09-21 |