| NPI | 1568032142 |
|---|---|
| Former Legal Business Name | PVD CARES AND WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | EFFIEN KING Owner 401-753-2526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2021-06-29 |