| NPI | 1801246616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEIGH FISHER Office Manager 401-946-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: RI APRN00019) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2025-04-28 |