Organization · Type 2 NPI

Commonwealth of Massachusetts

Mental Illness Community Based Residential Treatment Facility · Brockton, MA

NPI number 1144768045 Active

Practice location

165 Quincy St
Brockton, MA 02302-2988

Call (508) 897-2100 Map

Fax (508) 586-5117

Mailing address

165 Quincy St.
Brockton, MA 02301

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XLN25249 (MA)

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

66 other providers at this address

Other mental illness community based residential treatment facility providers in Brockton

See all in Brockton →

About NPI 1144768045

Commonwealth of Massachusetts's National Provider Identifier is 1144768045, issued on Feb 10, 2017. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Brockton, MA. The record was last updated on Feb 10, 2017.