| NPI | 1992448534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIONEL H. FERNANDEZ CEO/Executive Director 401-999-7010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 251B00000X Case Management | |
| 261Q00000X | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2022-04-20 |