| NPI | 1093094625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEG MARIE O'ROURKE Owner/Rd 401-245-8784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: RI LDN00587) |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service (Licence: MA 2100) |
| Enumeration Date | 2011-08-13 |
| Last Update Date | 2011-11-23 |