| Southeast Area Office Rehab Option | |
|
165 Quincy St Brockton MA 02302-2988 | |
| (508) 897-2000 | |
| Not Available |
| Full Name | Southeast Area Office Rehab Option |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 165 Quincy St, Brockton, Massachusetts |
| Authorized Official Name and Position | Ronald Dailey (AREA OPERATIONS MANAGER) |
| Authorized Official Contact | 5088972000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Area Office Rehab Option 25 Staniford St Boston MA 02114-2503 Ph: (617) 626-8000 | Southeast Area Office Rehab Option 165 Quincy St Brockton MA 02302-2988 Ph: (508) 897-2000 |
| NPI Number | 1710006051 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710006051 | NPI | - | NPPES |
| 1802674 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | EXEMPT (Massachusetts) | Primary |
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