| NPI | 1407070915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH CHAMPLIN Owner 401-596-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: RI RN14796) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |