| NPI | 1245695964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A PETITPAS Owner 401-944-0194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: RI PCNS00064) |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2015-12-22 |