| NPI | 1285161927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERYL MOSS COO 401-421-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC0700X Psychologist, Clinical | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2019-03-26 |