| NPI | 1720453913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH MURPHY Psychologist 401-437-4116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: RI PS01538) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: RI PS01538) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2015-12-14 |