Provider Demographics
NPI:1134971708
Name:DNC QUALITY BEHAVIORAL HEALTH SERVICES
Entity type:Organization
Organization Name:DNC QUALITY BEHAVIORAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:SABRINA
Authorized Official - Last Name:SEIGLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:857-214-9577
Mailing Address - Street 1:479 WEST AVE APT 203
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-6518
Mailing Address - Country:US
Mailing Address - Phone:857-214-9577
Mailing Address - Fax:
Practice Address - Street 1:33 SUMMER ST STE 7
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-2964
Practice Address - Country:US
Practice Address - Phone:401-548-3895
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty