| NPI | 1932978798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE NICOLE CARTIER Billing Supervisor 401-762-7549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-12-21 |
| Last Update Date | 2023-12-21 |