| NPI | 1427990704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE OLIVETTE WOOLERY Pmhnp 401-541-5457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-04-07 |
| Last Update Date | 2026-04-07 |