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Organization
MAP BEHAVIORAL HEALTH GROUP
Active
Organization
MAP BEHAVIORAL HEALTH GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIONEL H. FERNANDEZ MSW (CEO/EXECUTIVE DIRECTOR)
(401) 999-7010
Entity
Organization
Contact information
Practice address
343 ELMWOOD AVE, PROVIDENCE, RI 02907-1546
(401) 999-7010
Mailing address
343 ELMWOOD AVE, PROVIDENCE, RI 02907-1546
(401) 999-7010
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
NULL
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
251B00000X
Case Management Agency
—
NULL
261Q00000X
Clinic/Center
—
NULL
261QA0600X
Adult Day Care Clinic/Center
—
NULL
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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