| NPI | 1710370259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE ADAMS-LABONTE Member 401-234-1251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: RI PS01149) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |