| Center For Southeast Asians | |
|
270 Elmwood Ave Providence RI 02907-1524 | |
| (401) 274-8811 | |
| (401) 274-8877 |
| Full Name | Center For Southeast Asians |
|---|---|
| Speciality | Case Management |
| Location | 270 Elmwood Ave, Providence, Rhode Island |
| Authorized Official Name and Position | Channavy Chhay (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4012748811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Southeast Asians 270 Elmwood Ave Providence RI 02907-1524 Ph: (401) 274-8811 | Center For Southeast Asians 270 Elmwood Ave Providence RI 02907-1524 Ph: (401) 274-8811 |
| NPI Number | 1730396938 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 08/29/2023 |
| Certification Date | 08/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730396938 | NPI | - | NPPES |
| SE03066 | Other | RI | AGENCY'S PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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