Brockton Multi Services | |
165 Quincy St Brockton MA 02302-2988 | |
(508) 897-2092 | |
(508) 586-5117 |
Full Name | Brockton Multi Services |
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Speciality | Psychiatric Unit |
Location | 165 Quincy St, Brockton, Massachusetts |
Authorized Official Name and Position | Denise Kotapski (RN11) |
Authorized Official Contact | 5088972092 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brockton Multi Services 165 Quincy St Brockton MA 02302-2988 Ph: (508) 897-2092 | Brockton Multi Services 165 Quincy St Brockton MA 02302-2988 Ph: (508) 897-2092 |
NPI Number | 1225399785 |
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Provider Enumeration Date | 05/31/2012 |
Last Update Date | 05/31/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225399785 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | RN230636 (Massachusetts) | Primary |
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Brockton Multi Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 165 Quincy St, Dmh, Brockton, MA 02302 Phone: 508-897-2000 Fax: 508-586-5117 |