| NPI | 1972677722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY BARNETT LAFOUNTAIN Outpatient Clinician 401-784-3530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: RI mhc00274) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2008-03-21 |