| NPI | 1457323164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH JEAN PINCINCE Administrator 401-770-3813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2024-06-26 |