Organization
SOUTH COUNTY COMMUNITY ACTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH R. DESANTIS (EXECUTIVE DIRECTOR)
(401) 789-3016
Entity
Organization
Contact information
Practice address
1935 KINGSTOWN RD, WAKEFIELD, RI 02879-1616
(401) 789-3016
(401) 515-0139
Mailing address
1935 KINGSTOWN RD, WAKEFIELD, RI 02879-1616
(401) 789-3016
(401) 515-0139
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/17/2007
Last updated
01/29/2009
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