Organization
COMMUNITY CARE ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENEDICT F. LESSING JR. MSW (PRESIDENT/CEO)
(401) 235-6050
Entity
Organization
Contact information
Practice address
245 MAIN ST, WOONSOCKET, RI 02895-3123
(401) 235-7000
(401) 767-4075
Mailing address
PO BOX 1700, WOONSOCKET, RI 02895-0856
(401) 235-7000
(401) 767-4075
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
609.1
RI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1021170
RITE CARE NHP
RI
01
—
2094
RITE CARE EARLY INTER
RI
01
—
237628
BCBS SUB ABUSE
RI
01
—
29213
BCBS EARLY INTERN
RI
01
—
412128
BLUE CHIP EARY INTER
RI
01
—
7497
BLUE CHIP BLUE CROSS COUN
RI
05
—
FR02382
—
RI
05
—
FR02385
—
RI
05
—
FR05260
—
RI
05
—
FR05437
—
RI
05
—
FR29830
—
RI
05
—
FR50342
—
RI
Enumeration date
02/28/2007
Last updated
07/15/2014
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