Organization
CHILDRENS BEHAVIORAL HEALTH INITIATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY FISHER LICSW (PROGRAM DIRECTOR)
(508) 638-6066
Entity
Organization
Contact information
Practice address
20 MEADOWBROOK RD, BROCKTON, MA 02301-7122
(508) 638-6000
Mailing address
20 MEADOWBROOK RD, BROCKTON, MA 02301-7122
(508) 638-6000
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1518996354
MA
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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