| Re-united Behavioral Health Services | |
|
425 Pleasant St Brockton MA 02301-2533 | |
| (617) 678-7492 | |
| Not Available |
| Full Name | Re-united Behavioral Health Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 425 Pleasant St, Brockton, Massachusetts |
| Authorized Official Name and Position | Ludger Labissiere (OWNER) |
| Authorized Official Contact | 6176787492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Re-united Behavioral Health Services 425 Pleasant St Brockton MA 02301-2533 Ph: (617) 678-7492 | Re-united Behavioral Health Services 425 Pleasant St Brockton MA 02301-2533 Ph: (617) 678-7492 |
| NPI Number | 1548715964 |
|---|---|
| Provider Enumeration Date | 08/16/2016 |
| Last Update Date | 08/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548715964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 119810 (Massachusetts) | Primary |
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