| NPI | 1003454034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY L GALLO Owner/ Physician 401-268-5333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 1041C0700X Social Worker, Clinical | |
| 133V00000X Dietitian, Registered | |
| 207RB0002X Internal Medicine, Bariatric Medicine | |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2023-06-23 |