Organization
COMMONWEALTH OF MASSACHUSETTS
Active
Other names
Brockton Multiservice Center
Organization subpart
No
Provider details
NPI number
Authorized official
MERLEEN MILLS LICSW (DIRTECTOR OF EMERGENCY SERVICES)
(508) 285-9400
Entity
Organization
Contact information
Practice address
165 QUINCY ST, BROCKTON, MA 02302-2988
(508) 897-2100
(508) 586-5117
Mailing address
165 QUINCY ST., BROCKTON, MA 02301
(508) 897-2100
(508) 586-5117
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
LN25249
MA
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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