Organization
TRANSFORMING LIFE'S CHALLENGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CERCI HERNANDEZ MSW (CEO/EXECUTIVE DIRECTOR)
(774) 266-6700
Entity
Organization
Contact information
Practice address
50 LENOX ST, BROCKTON, MA 02301-3123
(774) 266-6700
Mailing address
50 LENOX ST, BROCKTON, MA 02301-3123
(774) 266-6700
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/08/2017
Last updated
04/08/2017
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