Organization
SOUTH BAY MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH PLANJE (CLINICAL SUPERVISOR)
(781) 244-1950
Entity
Organization
Contact information
Practice address
181 UNION ST, SUITE J, LYNN, MA 01901-1311
(781) 244-1950
Mailing address
1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
07/26/2013
Last updated
07/26/2013
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