| NPI | 1881082436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH A MCELROY GRILLO Vice President 508-579-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PSO1000) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: RI PSOO913) |
| 103TF0200X Psychologist, Forensic (Licence: RI PSO1000) | |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2015-01-06 |