BROCKTON HEALTHCARE NETWORK NPI 1528200227

NPI Information

NPI: 1528200227
Provider Name: BROCKTON HEALTHCARE NETWORK
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
5701 SPRUCE TREE DR
COLUMBUS, OH
ZIP 43232
Phone: (614) 367-6051
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BROCKTON HEALTHCARE NETWORK is a community based residential treatment facility mental illness in Columbus, OH. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. BROCKTON HEALTHCARE NETWORK NPI is 1528200227. The provider is registered as an organization entity type.

The provider's business location address is:

5701 SPRUCE TREE DR
COLUMBUS, OH
ZIP 43232-751
Phone: (614) 367-6051

The provider's authorized official is Augustine M. Norris .
The authorized official title is Ceo and has the following contact phone number (614) 367-6051.

The enumeration date for this NPI number is 3/27/2009 and was last updated on 3/27/2009.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness		SB612704	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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