| NPI | 1376992875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTIN DEMBEKJAN Supervisor 401-216-0086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: CA RPH 47630) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |