VA MEDICAL CENTER BROCKTON MA NPI 1104077544

NPI Information

VA MEDICAL CENTER BROCKTON MA is a psychiatric hospital in Brockton, MA. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. VA MEDICAL CENTER BROCKTON MA NPI is 1104077544. The provider is registered as an organization entity type.

The provider's business location address is:

25 BELMONT CT APT 8
BROCKTON, MA
ZIP 02301-730
Phone: (774) 826-2456

The provider's authorized official is Mark Bauer .
The authorized official title is Program Director and has the following contact phone number (774) 826-2456.

The enumeration date for this NPI number is 10/3/2008 and was last updated on 10/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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