| NPI | 1124720909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN PEARCE BISLAND Managing Owner 401-284-7414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| Enumeration Date | 2023-03-17 |
| Last Update Date | 2023-03-20 |