| NPI | 1861555690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY L KENNEDY Prescriptive Clinical Nurse Special 401-667-7079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI PPNS00047) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI PPNS00010) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |