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East Bay Community Action Program
Substance Use Disorder Rehabilitation Clinic/Center in Riverside, Rhode Island
NPI 1487916136

East Bay Community Action Program is a Substance Use Disorder Rehabilitation Clinic/Center based in Riverside, RI and is specialized in Rehabilitation, Substance Use Disorder. East Bay Community Action Program practices in Riverside, RI. The NPI Number for East Bay Community Action Program is 1487916136 and holds a License No. (Rhode Island).

The current practice location address for East Bay Community Action Program is 610 Wampanoag Trl, Riverside, RI and can be reached out via phone at 401-437-1008 and via fax at 401-433-3042.

Location: 610 Wampanoag Trl, Riverside, RI, 02915
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487916136
Provider Name
East Bay Community Action Program
Credential
Provider Entity Type
Organization
Address
610 Wampanoag Trl, Riverside, RI, 02915
Phone Number
401-437-1008
Fax Number
401-433-3042
Provider Enumeration Date
06/08/2012
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
EA1247 05 RI
institution
Provider Business Practice Location Address Details
Address
610 Wampanoag Trl
City
Riverside
State
Rhode Island
Zip
02915-1504
Phone Number
401-437-1008
Fax Number
401-433-3042
person
Provider Business Mailing Address Details
Address
610 Wampanoag Trl
City
Riverside
State
Rhode Island
Zip
02915-1504
Phone Number
401-437-1008
Fax Number
401-433-3042
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Rhode Island)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
(Rhode Island)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
(Rhode Island)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
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