| NPI | 1174149686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GOLD E OKOEKA Nurse Practitioner 401-433-9451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-06-20 |
| Last Update Date | 2020-07-15 |