| The Lamplighter Center For Renewal, Inc. | |
|
820 Pearl St Brockton MA 02301-4411 | |
| (508) 583-9800 | |
| (508) 583-9802 |
| Full Name | The Lamplighter Center For Renewal, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 820 Pearl St, Brockton, Massachusetts |
| Authorized Official Name and Position | Theresa M Smith (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5085839800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Lamplighter Center For Renewal, Inc. 820 Pearl St Brockton MA 02301-4411 Ph: (508) 583-9800 | The Lamplighter Center For Renewal, Inc. 820 Pearl St Brockton MA 02301-4411 Ph: (508) 583-9800 |
| NPI Number | 1174887152 |
|---|---|
| Provider Enumeration Date | 06/25/2012 |
| Last Update Date | 05/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174887152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | B56529 (Massachusetts) | Primary |
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