| NPI | 1003773680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA MACKENZIE Nurse Practitioner 401-365-9930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-01-06 |
| Last Update Date | 2026-01-06 |