| NPI | 1659382315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER C. PATCH Executive Director 401-808-6330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2010-09-07 |