| NPI | 1457150781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEGUIN SELLARDS SPEAR Psychotherapist 401-201-2805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-03-10 |