| NPI | 1316204910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK L. TAVITIAN President 401-884-9895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS358) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2012-04-19 |