Organization
EAST BAY COMMUNTIY ACTION PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RILWAN FEYISITAN (CHIEF EXECUTIVE OFFICER)
(401) 848-6697
Entity
Organization
Contact information
Practice address
19 BROADWAY, NEWPORT, RI 02840-2937
(401) 848-6697
(401) 841-0264
Mailing address
19 BROADWAY, NEWPORT, RI 02840-2937
(401) 848-6697
(401) 841-0264
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
05/25/2007
Last updated
04/27/2023
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