| NPI | 1104013879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH PINCINCE Administrator 401-770-3813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2024-06-24 |