| Habit Opco | |
|
180 Centre Street Brockton MA 02301 | |
| (508) 586-6300 | |
| (508) 580-1527 |
| Full Name | Habit Opco |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 180 Centre Street, Brockton, Massachusetts |
| Authorized Official Name and Position | Paul Edward Allen (SA CLINICIAN) |
| Authorized Official Contact | 5085866300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Habit Opco 180 Centre Street Brockton MA 02301 Ph: (508) 586-6300 | Habit Opco 180 Centre Street Brockton MA 02301 Ph: (508) 586-6300 |
| NPI Number | 1154544880 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154544880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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