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Commonwealth Of Massachusetts
Mental Illness Community Based Residential Treatment Facility in Brockton, Massachusetts
NPI 1144768045

Commonwealth Of Massachusetts is a Mental Illness Community Based Residential Treatment Facility based in Brockton, MA. Commonwealth Of Massachusetts practices in Brockton, MA. The NPI Number for Commonwealth Of Massachusetts is 1144768045 and holds a License No. LN25249 (Massachusetts).

The current practice location address for Commonwealth Of Massachusetts is 165 Quincy St, Brockton, MA and can be reached out via phone at 508-897-2100 and via fax at 508-586-5117.

Location: 165 Quincy St, Brockton, MA, 02301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144768045
Provider Name
Commonwealth Of Massachusetts
Credential
Provider Entity Type
Organization
Address
165 Quincy St, Brockton, MA, 02301
Phone Number
508-897-2100
Fax Number
508-586-5117
Provider Enumeration Date
02/10/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
165 Quincy St
City
Brockton
State
Massachusetts
Zip
02302-2988
Phone Number
508-897-2100
Fax Number
508-586-5117
person
Provider Business Mailing Address Details
Address
165 Quincy St
City
Brockton
State
Massachusetts
Zip
02302-2988
Phone Number
508-897-2100
Fax Number
508-586-5117
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
LN25249 (Massachusetts)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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