| NPI | 1841644762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL BERANBAUM Manager 401-262-0841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW01886) |
| 1041C0700X Social Worker, Clinical (Licence: RI CSW01675) | |
| 133N00000X Nutritionist (Licence: RI LDN00665) | |
| Enumeration Date | 2016-04-17 |
| Last Update Date | 2019-04-01 |