| NPI | 1538622394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABITHA IMONDI Psychiatric Np/Owner 401-829-6678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2019-04-09 |