Organization · Type 2 NPI
Teen Challenge New England Inc
Addiction Medicine (Psychiatry & Neurology) Physician · Brockton, MA
NPI number
1205307576
Active
Practice location
1311 Main St
Brockton, MA 02301-7109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | None listed |
| Addiction Medicine (Psychiatry & Neurology) Physician Primary | 2084A0401X | None listed |
Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Another provider at this address
Other addiction medicine (psychiatry & neurology) physician providers in Brockton
About NPI 1205307576
Teen Challenge New England Inc's National Provider Identifier is 1205307576, issued on Dec 16, 2018. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Brockton, MA. The record was last updated on Dec 17, 2020.