Organization
HIGHPPOINT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY CORLISS MSW (IN HOME THERAPIST)
(508) 894-4945
Entity
Organization
Contact information
Practice address
10 MEADOWBROOK RD, BROCKTON, MA 02301-7122
(508) 894-4945
Mailing address
10 MEADOWBROOK RD, BROCKTON, MA 02301-7122
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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