| NPI | 1679241210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILLE MOONSAMMY Partner 401-206-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2021-08-30 |