| NPI | 1487185211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FALASHADE FELICIA ADEWUYI Psychiatric Mental Health Np 401-603-7715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN275164) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |