| NPI | 1336638303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY KEITH HILLIS Partner 401-259-0340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: RI MHC00757) |
| 104100000X Social Worker | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2018-05-05 |
| Last Update Date | 2021-01-26 |