| Center For Self Care Csc | |
|
575 E Main Rd 4 Middletown RI 02842-5528 | |
| (508) 962-7364 | |
| (401) 619-7766 |
| Full Name | Center For Self Care Csc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 575 E Main Rd, Middletown, Rhode Island |
| Authorized Official Name and Position | Tiffany Bourquin (CEO/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5089627364 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Self Care Csc P.o. Box 577 Somerset MA 02726 Ph: (508) 962-7364 | Center For Self Care Csc 575 E Main Rd 4 Middletown RI 02842-5528 Ph: (508) 962-7364 |
| NPI Number | 1952651895 |
|---|---|
| Provider Enumeration Date | 09/19/2012 |
| Last Update Date | 04/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952651895 | NPI | - | NPPES |
| 1669631487 | Other | INDIVIDUAL NPI 1669631487 | |
| BH90286 | Medicaid | RI |
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