Organization
SOUTHBAY COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RUTHE ANTOINE (BEHAVIORAL MANAGEMENT THERAPIST)
(973) 901-4042
Entity
Organization
Contact information
Practice address
1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
(508) 521-2200
Mailing address
25 SOMERSET PL, BROCKTON, MA 02301-6048
(973) 901-4042
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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