Individual provider · Type 1 NPI

Jessica Trask

Community/Behavioral Health Agency · Brockton, MA

NPI number 1760036198 Active

Practice location

1115 W Chestnut St
Brockton, MA 02301-7501

Mailing address

200 Fruit St
Mansfield, MA 02048-3115

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1760036198

Jessica Trask's National Provider Identifier is 1760036198, issued on Jul 24, 2019. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Brockton, MA. The record was last updated on Jul 24, 2019.