| NPI | 1497994826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE A MEDEIROS Owner/President 401-619-5740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: RI MD09160) |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2009-08-14 |