| Behavioral Health | |
|
164 Summit Ave Providence RI 02906-2853 | |
| (401) 444-5640 | |
| (401) 444-5462 |
| Full Name | Behavioral Health |
|---|---|
| Speciality | Clinic/center |
| Location | 164 Summit Ave, Providence, Rhode Island |
| Authorized Official Name and Position | Eva Greenwood (SVP, FINANCE) |
| Authorized Official Contact | 4014447914 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health 117 Ellenfield St Providence RI 02905-4513 Ph: (401) 444-5640 | Behavioral Health 164 Summit Ave Providence RI 02906-2853 Ph: (401) 444-5640 |
| NPI Number | 1548481427 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 05/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548481427 | NPI | - | NPPES |
| 0000003325 | Other | RI | BCBSRI GRP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | HOS0012207 (Rhode Island) | Primary |
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