| NPI | 1922664317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENDUELES VILLALBA Vice President 401-451-9758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-05-13 |