Organization
NORTHEAST BEHAVIORAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER C. PATCH PSYD (EXECUTIVE DIRECTOR)
(401) 808-6330
Entity
Organization
Contact information
Practice address
744 PARK AVE, SUITE NUMBER 6, CRANSTON, RI 02910-2150
(401) 808-6330
(401) 808-6333
Mailing address
744 PARK AVE, SUITE NUMBER 6, CRANSTON, RI 02910-2150
(401) 808-6330
(401) 808-6333
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NB65361
—
RI
Enumeration date
03/26/2009
Last updated
03/26/2009
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