| Casey Family Services | |
|
1268 Eddy St Providence RI 02905-4535 | |
| (401) 781-3669 | |
| Not Available |
| Full Name | Casey Family Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1268 Eddy St, Providence, Rhode Island |
| Authorized Official Name and Position | Jaes R. Gannaway (DIVISION DIRECTOR) |
| Authorized Official Contact | 4017813669 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Casey Family Services 1268 Eddy St Providence RI 02905-4535 Ph: (401) 781-3669 | Casey Family Services 1268 Eddy St Providence RI 02905-4535 Ph: (401) 781-3669 |
| NPI Number | 1598898520 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598898520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 45665 (Rhode Island) | Primary |
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