South Shore Center Inc

LBN: South Shore Center Inc
South Shore Center Inc is an health care organization with primary practice located at 4705A Old Post Rd , Charlestown RI 02813-1819. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Group Psychotherapy is the primary health care specialty. South Shore Center Inc can be contacted via phone (401) 364-7705, or through Yeamen, Dorothy A via phone (401) 364-7705.

Contact Information

Primary practice address
4705A Old Post Rd Charlestown RI 02813-1819
Phone: (401) 364-7705
Fax: (401) 364-9104
Website:
Map and Directions
Authorized official contact:
Name: Yeamen, Dorothy A Master of Public Administration (MPA)
Phone: (401) 364-7705

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1255327391
LBN Legal business name South Shore Center Inc
DBA Doing business as
Authorized official Yeamen, Dorothy A Master of Public Administration (MPA)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2005
Last updated Jan 24th, 2013 - about 11 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 1255327391 NPPES
Rhode Island Other 25450 BLUE CROSS GROUP ID
Rhode Island MEDICAID 9001875 BLUE CROSS GROUP ID
Rhode Island MEDICAID SS02237 BLUE CROSS GROUP ID
Rhode Island Other 201774 BLUE CROSS GROUP ID

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