| NPI | 1154713030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILEANA BERMAN Owner 401-447-9611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: MA 71995) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |