| NPI | 1316402746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH PINCINCE Administrator 401-770-3813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 106H00000X Marriage & Family Therapist | |
| 207Q00000X Family Medicine | |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2024-08-29 |