| Divine Care Health And Wellness Llc | |
|
500 Westgate Dr # 1016 Brockton MA 02301-1855 | |
| (857) 574-4497 | |
| Not Available |
| Full Name | Divine Care Health And Wellness Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 500 Westgate Dr # 1016, Brockton, Massachusetts |
| Authorized Official Name and Position | Elsie Adibe (PSYCHIATRIC MENTAL HEALTH NURSE PRA) |
| Authorized Official Contact | 8575744497 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Care Health And Wellness Llc 500 Westgate Dr # 1016 Brockton MA 02301-1855 Ph: (857) 574-4497 | Divine Care Health And Wellness Llc 500 Westgate Dr # 1016 Brockton MA 02301-1855 Ph: (857) 574-4497 |
| NPI Number | 1932861614 |
|---|---|
| Provider Enumeration Date | 10/09/2021 |
| Last Update Date | 10/09/2021 |
| Certification Date | 10/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932861614 | NPI | - | NPPES |
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South Bay Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1115 West Chestnut Street Suite 202, Brockton, MA 02301 Phone: 508-521-2200 Fax: 508-584-2227 | |
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