| NPI | 1720311202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SOLOMON Clinical Director 401-421-1405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-09-15 |