| NPI | 1518723030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS COVARRUBIAS Owner 401-753-8950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2024-02-22 |
| Last Update Date | 2024-02-22 |