Organization Name: | COMMUNITY CARE ALLIANCE |
NPI Number: | 1043347602 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BENEDICT F. LESSING (PRESIDENT/CEO) |
Mailing Address: | 245 Main St Woonsocket |
State: | RI US |
Postal Code: | 028953123 |
Phone Number: | 4012357000 |
Fax Number: | 4017674075 |
NPI Enumeration Date: | 02/28/2007 |
NPI Last Update Date: | 07/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
Taxonomy Definition: |