Organization
SOUTH BAY MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN MEISTER (DIRECTOR)
(508) 436-4432
Entity
Organization
Contact information
Practice address
103 COMMERCIAL ST, BROCKTON, MA 02302-3101
(508) 580-4691
Mailing address
1651 LIBERTY ST, BRAINTREE, MA 02184-8274
(781) 848-6704
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
220429
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220429
LCSW
MA
Enumeration date
12/31/2014
Last updated
12/31/2014
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