Organization
SOUTH BAY MENTAL HEALTH
Active
Other names
SOUTH BAY EARLY INTERVENTION
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE NUNES FONSECA RN (NURSE)
(508) 559-0473
Entity
Organization
Contact information
Practice address
1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
(508) 559-0473
(508) 427-5361
Mailing address
133 CENTRE AVE, ABINGTON, MA 02351-2254
(508) 380-3696
(508) 427-5361
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
251934
MA
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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