Sb Transitional Sub, LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Brockton, Massachusetts
1962091173- Practice location
- 1115 W Chestnut St, Brockton, MA 02301-7501
- Phone
- 508-521-2200
- Fax
- —
- Last updated
- October 14, 2024
Sb Transitional Sub, LLC is a healthcare organization based in Brockton, MA. Sb Transitional Sub, LLC practices in Brockton, MA. The NPI Number for Sb Transitional Sub, LLC is 1962091173. The current practice location address for Sb Transitional Sub, LLC is 1115 W Chestnut St, Brockton, MA 02301-7501 and can be reached out via phone at 508-521-2200.
Provider Profile Details
- NPI Number
- 1962091173
- Provider Name
- Sb Transitional Sub, LLC
- Provider Entity Type
- Organization
- Address
- 1115 W Chestnut St, Brockton, MA 02301-7501
- Phone Number
- 508-521-2200
- Primary Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Organization Subpart
- No
- Authorized Official
- Mary Patricia Rodenberg-Roberts, MED · Vp & Sr. Asst General Counsel · 952-836-2234
- Provider Enumeration Date
- January 12, 2021
- Last Update Date
- October 14, 2024
- Certification Date
- October 14, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1115 W Chestnut St
Brockton, MA 02301-7501 - City
- Brockton
- State
- Massachusetts
- Zip
- 02301-7501
- Phone Number
- 508-521-2200
Provider Business Mailing Address Details
- Address
- 1115 W Chestnut St
Brockton, MA 02301-7501 - City
- Brockton
- State
- MA
- Zip
- 02301-7501
- Phone Number
- 508-521-2200
License Information
- Taxonomy (1)
- Community/Behavioral Health · 251S00000X
- Taxonomy (2)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Sb Transitional Sub, LLC?
The NPI number of Sb Transitional Sub, LLC is 1962091173. It was assigned on January 12, 2021 and is currently active in the NPPES registry.
What is the specialty of Sb Transitional Sub, LLC?
Sb Transitional Sub, LLC is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X).
Where does Sb Transitional Sub, LLC practice?
The practice location is 1115 W Chestnut St, Brockton, MA 02301-7501. The office can be reached at 508-521-2200 (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 1962091173 directly on the NPPES registry website.