Organization
HEALTHY MALE INSTITUTE LLC
Active
Other names
Healthy Male Institute
Organization subpart
No
Provider details
NPI number
Authorized official
PHERNEL JOSEPH MANIGAT LICSW (OWNER AND FOUNDER)
(617) 694-7172
Entity
Organization
Contact information
Practice address
425 PLEASANT ST, BROCKTON, MA 02301-2533
(617) 694-7172
Mailing address
218 SAWTELL AVE, BROCKTON, MA 02302-1654
(617) 694-7172
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/15/2018
Last updated
12/18/2024
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