Organization
SOUTH SHORE MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN PRONE (FAMILY SUPPORT WORKER)
(508) 580-4691
Entity
Organization
Contact information
Practice address
16 PENNIMAN CIRCLE, STOUGHTON, MA 02072
(781) 408-6056
Mailing address
16 PENNIMAN CIR, STOUGHTON, MA 02072-3564
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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