Organization
OLD COLONY YOUNG MEN'S CHRISTIAN ASSOCIATION, INC.
Active
Other names
Old Colony Y Comprehensive Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA J DESMOND CPA, MBA (EVP, CFO)
(508) 897-1230
Entity
Organization
Contact information
Practice address
104 TORREY STREET, BROCKTON, MA 02301-4855
(508) 427-4383
(508) 584-4328
Mailing address
104 TORREY STREET, BROCKTON, MA 02301-4855
(508) 427-4383
(508) 584-4328
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4796
MA
1041C0700X
Clinical Social Worker
4796
MA
174H00000X
Health Educator
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
4796
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1319736
—
MA
Enumeration date
12/21/2006
Last updated
03/01/2024
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