Organization
CENTER FOR SOUTHEAST ASIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANNAVY CHHAY (EXECUTIVE DIRECTOR)
(401) 274-8811
Entity
Organization
Contact information
Practice address
270 ELMWOOD AVE, PROVIDENCE, RI 02907-1524
(401) 274-8811
(401) 274-8877
Mailing address
270 ELMWOOD AVE, PROVIDENCE, RI 02907-1524
(401) 274-8811
(401) 274-8877
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SE03066
AGENCY'S PROVIDER #
RI
Enumeration date
05/17/2007
Last updated
08/29/2023
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