Organization
TRI-COUNTY COMMUNITY ACTION AGENCY
Active
Other names
Tri-Town Economic Opportunity Committee
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH R DESANTIS (CHIEF EXECUTIVE OFFICER)
(401) 519-1967
Entity
Organization
Contact information
Practice address
1126 HARTFORD AVE, JOHNSTON, RI 02919-7130
(401) 351-2750
(401) 351-6613
Mailing address
1126 HARTFORD AVE, JOHNSTON, RI 02919-7130
(401) 351-2750
(401) 351-6613
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
ACF01507
RI
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TT02485
—
RI
Enumeration date
06/18/2006
Last updated
12/12/2023
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