| NPI | 1982252573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLE COLETTA Office Assistant 401-527-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |