| Sb Transitional Sub, Llc | |
|
1115 W Chestnut St Brockton MA 02301-7501 | |
| (508) 521-2200 | |
| Not Available |
| Full Name | Sb Transitional Sub, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1115 W Chestnut St, Brockton, Massachusetts |
| Authorized Official Name and Position | Mary Patricia Rodenberg-roberts (VP & SR. ASST GENERAL COUNSEL) |
| Authorized Official Contact | 9528362234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sb Transitional Sub, Llc 1115 W Chestnut St Brockton MA 02301-7501 Ph: (508) 521-2200 | Sb Transitional Sub, Llc 1115 W Chestnut St Brockton MA 02301-7501 Ph: (508) 521-2200 |
| NPI Number | 1689267130 |
|---|---|
| Provider Enumeration Date | 02/16/2021 |
| Last Update Date | 11/27/2023 |
| Certification Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689267130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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