Provider Demographics
NPI:1588925846
Name:BEHAVIORAL HEALTH SOLUTIONS
Entity type:Organization
Organization Name:BEHAVIORAL HEALTH SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:C
Authorized Official - Last Name:DUMAS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:401-447-4616
Mailing Address - Street 1:71 GOVERNOR BRADFORD DR
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:RI
Mailing Address - Zip Code:02806-4732
Mailing Address - Country:US
Mailing Address - Phone:401-447-4616
Mailing Address - Fax:
Practice Address - Street 1:71 GOVERNOR BRADFORD DR
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:RI
Practice Address - Zip Code:02806-4732
Practice Address - Country:US
Practice Address - Phone:401-447-4616
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-04
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty