| NPI | 1083886022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY M RYAN Clinician 401-481-3746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: RI MHC00333) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-03-31 |