# SOUTH BAY MENTAL HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SOUTH BAY EARLY INTERVENTION
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487944369
- **Authorized official:** MRS. MICHELLE NUNES FONSECA RN (NURSE)
- **Authorized official phone:** (508) 559-0473

## Contact information

- **Practice address:** 1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
- **Practice address phone:** (508) 559-0473
- **Practice address fax:** (508) 427-5361
- **Mailing address:** 133 CENTRE AVE, ABINGTON, MA 02351-2254
- **Mailing address phone:** (508) 380-3696
- **Mailing address fax:** (508) 427-5361

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 251934 | MA | Yes |

## Other

- **Enumeration date:** 04/13/2011
- **Last updated:** 04/13/2011