| Southeastern Psychiatric Associates | |
|
830 Chalkstone Avenue Providence RI 02098-4799 | |
| (401) 273-7100 | |
| (401) 457-3354 |
| Full Name | Southeastern Psychiatric Associates |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 830 Chalkstone Avenue, Providence, Rhode Island |
| Authorized Official Name and Position | Allan D. Erickson (CHIEF STAFF) |
| Authorized Official Contact | 4012737100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Psychiatric Associates 830 Chalkstone Avenue Providence RI 02098-4799 Ph: (401) 273-7100 | Southeastern Psychiatric Associates 830 Chalkstone Avenue Providence RI 02098-4799 Ph: (401) 273-7100 |
| NPI Number | 1114940681 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114940681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 18598 (Rhode Island) | Primary |
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