| NPI | 1922876135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVOR COTE Owner, Psychologist 401-862-8803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TE1100X Psychologist Exercise & Sports |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2023-12-18 |