| NPI | 1780198069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA VOISINE Director 401-932-2045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: RI PS01216) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103TC0700X Psychologist Clinical | |
| 103TC1900X Psychologist Counseling | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2017-11-26 |
| Last Update Date | 2017-11-26 |