# SOUTH BAY MENTAL HEALTH CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COMMUNITY INTERVENTION SERVICES, INC.
- **Other names:** South Bay Community Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1750703062
- **Legal business name:** COMMUNITY INTERVENTION SERVICES, INC.
- **Authorized official:** SARA J HART LMHC (PRESIDENT/COO)
- **Authorized official phone:** (508) 324-0328

## Contact information

- **Practice address:** 1115 WEST CHESTNUT STREET, SUITE 202, BROCKTON, MA 02301
- **Practice address phone:** (508) 521-2200
- **Practice address fax:** (508) 584-2227
- **Mailing address:** 1115 WEST CHESTNUT STREET, SUITE 202, BROCKTON, MA 02301
- **Mailing address phone:** (508) 521-2200
- **Mailing address fax:** (508) 584-2227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/07/2014
- **Last updated:** 04/01/2019