Organization
COMPREHENSIVE COMMUNITY ACTION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN S COTE CPA (FINANCE DIRECTOR)
(401) 562-2250
Entity
Organization
Contact information
Practice address
311 DORIC AVE, CRANSTON, RI 02910-2903
(401) 467-9610
Mailing address
311 DORIC AVE, CRANSTON, RI 02910-2903
(401) 467-9610
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1502
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
709000471
MEDICARE OTHER
—
05
—
9000471
—
RI
Enumeration date
04/09/2012
Last updated
05/08/2024
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