| NPI | 1811079502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD NELSON GAVALYA. MD Director 401-728-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI rimd4323) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2010-09-23 |