NPI | 1790278604 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH JEAN PINCINCE Administrator 401-770-3813 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 101YP2500X Counselor, Professional |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2018-06-14 |
Last Update Date | 2024-07-24 |