Organization
HABIT OPCO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL EDWARD ALLEN (SA CLINICIAN)
(508) 586-6300
Entity
Organization
Contact information
Practice address
180 CENTRE STREET, BROCKTON, MA 02301
(508) 586-6300
(508) 580-1527
Mailing address
180 CENTRE STREET, BROCKTON, MA 02301
(508) 586-6300
(508) 580-1527
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/11/2007
Last updated
08/22/2020
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