SB TRANSITIONAL SUB LLC NPI 1962091173

NPI Information

NPI: 1962091173
Provider Name: SB TRANSITIONAL SUB, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1115 W CHESTNUT ST
BROCKTON, MA
ZIP 02301
Phone: (508) 521-2200
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SB TRANSITIONAL SUB, LLC is a mental health (including community mental health center) clinic center in Brockton, MA. SB TRANSITIONAL SUB, LLC NPI is 1962091173. The provider is registered as an organization entity type.

The provider's business location address is:

1115 W CHESTNUT ST
BROCKTON, MA
ZIP 02301-501
Phone: (508) 521-2200

The provider's authorized official is Mary Patricia Rodenberg-roberts .
The authorized official title is Vp & Sr. Asst General Counsel and has the following contact phone number (952) 836-2234.

The enumeration date for this NPI number is 1/12/2021 and was last updated on 11/27/2023.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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: 4/28/2024

NPI Synchronization or Removal

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