| NPI | 1437750684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ANNA-MARIRE PANTON Owner 401-206-4199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 364SP0812X Clinical Nurse Specialist, Psych/Mental Health, Community | |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |