Organization
EAST BAY COMMUNITY ACTION PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RILWAN FEYISITAN (CEO)
(401) 437-1000
Entity
Organization
Contact information
Practice address
100 BULLOCKS POINT, RIVERSIDE, RI 02915
(401) 437-1008
Mailing address
100 BULLOCKS POINT, RIVERSIDE, RI 02915
(401) 437-1008
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
ACF01574
RI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
ACF01574
RI
Other
Enumeration date
04/04/2016
Last updated
05/11/2023
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