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Organization
EAST BAY COMMUNITY ACTION PROGRAM
Active
Organization
EAST BAY COMMUNITY ACTION PROGRAM
Active
Other names
East Bay Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
RILWAN FEYISITAN (CEO)
(401) 437-1008
Entity
Organization
Contact information
Practice address
610 WAMPANOAG TRL, RIVERSIDE, RI 02915-1504
(401) 437-1008
(401) 433-3042
Mailing address
100 BULLOCKS POINT, RIVERSIDE, RI 02915
(401) 437-1008
(401) 433-3042
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
251S00000X
Community/Behavioral Health Agency
—
RI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
RI
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EA1247
—
RI
Enumeration date
06/08/2012
Last updated
03/23/2024
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