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Hannah Russell
Community/Behavioral Health Agency in Brockton, Massachusetts
NPI 1427564475

Hannah Russell is a Community/Behavioral Health Agency based in Abington, MA. Hannah Russell practices in Brockton, MA. The NPI Number for Hannah Russell is 1427564475 and holds a License No. 9693650 (Massachusetts).

The current practice location address for Hannah Russell is 1115 W Chestnut St, Brockton, MA and can be reached out via phone at 508-559-0473.

Location: 1115 W Chestnut St, Brockton, MA, 02351-2622
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427564475
Provider Name
Hannah Russell
Credential
Provider Entity Type
Individual
Gender
Female
Address
1115 W Chestnut St, Brockton, MA, 02351-2622
Phone Number
508-559-0473
Fax Number
Provider Enumeration Date
12/28/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CDW960531941 01 MA BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1115 W Chestnut St
City
Brockton
State
Massachusetts
Zip
02301-7501
Phone Number
508-559-0473
Fax Number
person
Provider Business Mailing Address Details
Address
1115 W Chestnut St
City
Brockton
State
Massachusetts
Zip
02301-7501
Phone Number
508-559-0473
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
9693650 (Massachusetts)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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