| NPI | 1477959849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J ELTZ Co Director 401-714-7440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS00748) |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2014-11-13 |