| NPI | 1992441794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT FORLEO Licensed Mental Health Counselor 401-903-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2025-02-06 |