# TEEN CHALLENGE NEW ENGLAND INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Massachusetts TC Clinical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205307576
- **Authorized official:** JEROME POSEY M.ED, LADCI (PROGRAM DIRECTOR)
- **Authorized official phone:** (617) 792-0581

## Contact information

- **Practice address:** 1311 MAIN ST, BROCKTON, MA 02301-7109
- **Practice address phone:** (508) 408-4378
- **Mailing address:** 1311 MAIN ST, BROCKTON, MA 02301-7109
- **Mailing address phone:** (508) 408-4378
- **Mailing address fax:** (508) 825-3242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/16/2018
- **Last updated:** 12/17/2020