East Bay Behavioral Health

LBN: East Bay Community Action Program
East Bay Behavioral Health is an health care organization with primary practice located at 610 Wampanoag Trl , Riverside RI 02915-1504. The organization recently has 4 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. East Bay Community Action Program can be contacted via phone (401) 437-1008, or through Feyisitan, Rilwan via phone (401) 437-1008.

Contact Information

Primary practice address
610 Wampanoag Trl Riverside RI 02915-1504
Phone: (401) 437-1008
Fax: (401) 433-3042
Website:
Map and Directions
Authorized official contact:
Name: Feyisitan, Rilwan
Phone: (401) 437-1008

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Agencies / Community/Behavioral Health 251S00000X Rhode Island
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X Rhode Island
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X Rhode Island

Profile Details

NPI number 1487916136
LBN Legal business name East Bay Community Action Program
DBA Doing business as East Bay Behavioral Health
Authorized official Feyisitan, Rilwan
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2012
Last updated Mar 23rd, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487916136 NPPES
Rhode Island MEDICAID EA1247

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