| NPI | 1043184690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL BOWARY President 401-300-0134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2025-10-06 |
| Last Update Date | 2025-10-06 |