# NORTHEAST HEATLH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508534710
- **Authorized official:** MARYLOU E SHEARING LICSW (CLINIC DIRECTOR)
- **Authorized official phone:** (508) 586-2660

## Contact information

- **Practice address:** 231 MAIN ST, BROCKTON, MA 02301-4342
- **Practice address phone:** (508) 586-2660
- **Mailing address:** 49 COYLE AVE APT 5, PAWTUCKET, RI 02860-1132
- **Mailing address phone:** (862) 321-9281

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/01/2021
- **Last updated:** 09/01/2021