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Organization
HEALTHY MALE INSTITUTE LLC
Active
Organization
HEALTHY MALE INSTITUTE LLC
Active
Other names
Healthy Male Institute
Organization subpart
No
Provider details
NPI number
Authorized official
PHERNEL JOSEPH MANIGAT LICSW (OWNER AND FOUNDER)
(617) 694-7172
Entity
Organization
Contact information
Practice address
425 PLEASANT ST, BROCKTON, MA 02301-2533
(617) 694-7172
Mailing address
218 SAWTELL AVE, BROCKTON, MA 02302-1654
(617) 694-7172
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/15/2018
Last updated
12/18/2024
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