Organization
FRIENDS AND MENTORS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNY MONTEIRO MED (EXECUTIVE DIRECTOR)
(774) 422-9200
Entity
Organization
Contact information
Practice address
209 QUINCY ST, BROCKTON, MA 02302-2926
(508) 846-9623
Mailing address
209 QUINCY ST, BROCKTON, MA 02302-2926
(508) 846-9623
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
104100000X
Social Worker
—
—
208D00000X
General Practice Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/13/2020
Last updated
07/24/2024
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