HABIT OPCO NPI 1154544880

NPI Information

HABIT OPCO is an addiction (substance use disorder) counselor in Brockton, MA. HABIT OPCO NPI is 1154544880. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

180 CENTRE STREET
BROCKTON, MA
ZIP 02301
Phone: (508) 586-6300
Fax: (508) 580-1527

The provider's authorized official is Paul Edward Allen .
The authorized official title is Sa Clinician and has the following contact phone number (508) 586-6300.

The CLIA number assigned to this NPI record is 22D2088109 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/11/2007 and was last updated on 8/22/2020.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.