| NPI | 1134722929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN PRINGER Owner 401-932-0160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2020-11-16 |