| NPI | 1407198237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA KANE Owner 401-743-5192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI MD12468) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: RI MHC00534) |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2013-03-19 |