| NPI | 1043502214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISA ETTING President 401-633-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: RI MHC00342) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2024-12-31 |