Provider Demographics
NPI:1992522460
Name:COMMUNITY CARE ALLIANCE
Entity type:Organization
Organization Name:COMMUNITY CARE ALLIANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COORDINATOR OF THIRD PARTY BILLING
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:CARTIER
Authorized Official - Suffix:
Authorized Official - Credentials:AS
Authorized Official - Phone:401-559-5396
Mailing Address - Street 1:68 CUMBERLAND ST
Mailing Address - Street 2:
Mailing Address - City:WOONSOCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02895-3300
Mailing Address - Country:US
Mailing Address - Phone:401-559-5396
Mailing Address - Fax:
Practice Address - Street 1:80 SUMMIT ST
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-4206
Practice Address - Country:US
Practice Address - Phone:401-235-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-25
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility