| NPI | 1750930103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOREEN SHAFFI Owner 401-527-8475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2019-09-09 |