NPI | 1114011756 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID E KROESSLER President/Owner 401-822-4673 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 103T00000X Psychologist |
104100000X Social Worker | |
163WP0808X Registered Nurse, Psych/Mental Health | |
207QA0401X Family Medicine, Addiction Medicine | |
Enumeration Date | 2006-10-03 |
Last Update Date | 2021-01-14 |