| NPI | 1245681626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY AMAIO Md 401-847-2290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2025-03-19 |