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Organization
SOUTH BAY MENTAL HEALTH
Active
Organization
SOUTH BAY MENTAL HEALTH
Active
Other names
SOUTH BAY EARLY INTERVENTION
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE NUNES FONSECA RN (NURSE)
(508) 559-0473
Entity
Organization
Contact information
Practice address
1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
(508) 559-0473
(508) 427-5361
Mailing address
133 CENTRE AVE, ABINGTON, MA 02351-2254
(508) 380-3696
(508) 427-5361
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
251934
MA
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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