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BROCKTON MULTI SERVICE NPI 1043355266


NPI Information

NPI: 1043355266
Provider Name: BROCKTON MULTI SERVICE
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
165 QUINCY ST
DMH
BROCKTON, MA
ZIP 02302
Phone: (508) 897-2000
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BROCKTON MULTI SERVICE is a mental health counselor in Brockton, MA. BROCKTON MULTI SERVICE NPI is 1043355266. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

165 QUINCY ST
DMH
BROCKTON, MA
ZIP 02302-988
Phone: (508) 897-2000
Fax: (508) 586-5117

The provider's authorized official is Richard Jobin .
The authorized official title is Director and has the following contact phone number (508) 897-2000.

The enumeration date for this NPI number is 2/21/2007 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health4912MASSACHUSETTSYes

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: 4/28/2024

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.