| NPI | 1710702204 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | FRANK LUDERS PAUL Therapist 401-263-0778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2024-12-06 |