| NPI | 1033944202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN GAGNON President 401-859-3335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-12-05 |