| NPI | 1689430340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSLAN BERDICHEVSKY Owner/Pmhnp 401-566-8175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-02-21 |