Organization
NEW ENGLAND BEHAVIORAL HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELICIA S VAN RADER (ADMINISTRATOR)
(617) 799-6915
Entity
Organization
Contact information
Practice address
1351 MAIN ST, BROCKTON, MA 02301-7153
(508) 857-0239
(508) 857-0684
Mailing address
1351 MAIN ST, BROCKTON, MA 02301-7153
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
08/10/2015
Last updated
07/12/2021
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