Active NPIOrganization

Teen Challenge New England INC

Psychiatry & Neurology, Addiction Medicine in Brockton, Massachusetts

NPI Number1205307576
Practice location
1311 Main St, Brockton, MA 02301-7109
Fax
—
Last updated
December 17, 2020

Teen Challenge New England INC is a healthcare organization based in Brockton, MA. Teen Challenge New England INC practices in Brockton, MA. The NPI Number for Teen Challenge New England INC is 1205307576. The current practice location address for Teen Challenge New England INC is 1311 Main St, Brockton, MA 02301-7109 and can be reached out via phone at 508-408-4378.

Provider Profile Details

NPI Number
1205307576
Provider Name
Teen Challenge New England INC
Provider Entity Type
Organization
Address
1311 Main St, Brockton, MA 02301-7109
Phone Number
508-408-4378
Primary Taxonomy
Psychiatry & Neurology, Addiction Medicine · 2084A0401X
Organization Subpart
No
Authorized Official
Jerome Posey, MED, LADCI · Program Director · 617-792-0581
Other Names
Massachusetts Tc Clinical Group (Doing Business As)
Provider Enumeration Date
December 16, 2018
Last Update Date
December 17, 2020
Certification Date
December 17, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1311 Main St
Brockton, MA 02301-7109
Zip
02301-7109
Phone Number
508-408-4378
Brockton, MA 02301Get directions →

Provider Business Mailing Address Details

Address
1311 Main St
Brockton, MA 02301-7109
City
Brockton
State
MA
Zip
02301-7109
Phone Number
508-408-4378
Fax Number
508-825-3242

License Information

Taxonomy (1)
Social Worker, Clinical · 1041C0700X
Taxonomy (2)
Psychiatry & Neurology, Addiction Medicine · 2084A0401X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Teen Challenge New England INC?

The NPI number of Teen Challenge New England INC is 1205307576. It was assigned on December 16, 2018 and is currently active in the NPPES registry.

What is the specialty of Teen Challenge New England INC?

Teen Challenge New England INC is registered under the primary taxonomy Psychiatry & Neurology, Addiction Medicine (code 2084A0401X).

Where does Teen Challenge New England INC practice?

The practice location is 1311 Main St, Brockton, MA 02301-7109. The office can be reached at 508-408-4378 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205307576 directly on the NPPES registry website.

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