Organization
NORTHEAST HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARYLOU E SHEARING LICSW (CLINIC DIRECTOR)
(508) 586-2660
Entity
Organization
Contact information
Practice address
231 MAIN ST, BROCKTON, MA 02301-4342
(508) 586-2660
Mailing address
231 MAIN ST, BROCKTON, MA 02301-4342
(508) 586-2660
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/21/2010
Last updated
12/21/2010
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