| NPI | 1538813415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSLAN BERDICHEVSKY Owner 401-566-8175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2023-05-07 |