| NPI | 1972975845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN PATRICK BAXTER Owner 401-267-4485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI NPP37892) |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2024-06-05 |