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 | 2024-10-11 |