NPI | 1518715812 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH PINCINCE Administrator 401-770-3813 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2024-05-10 |
Last Update Date | 2024-09-26 |