Organization
NORTHEAST BEHAVIORAL ASSOCIATES
Active
Other names
Northeast behavioral associates
Organization subpart
No
Provider details
NPI number
Authorized official
JAYLA C HAMPTON M.ED (BEHAVIORAL MANAGEMENT THERAPIST)
(774) 240-1504
Entity
Organization
Contact information
Practice address
23 DAILEY RD, BROCKTON, MA 02302-2250
(774) 240-1504
Mailing address
23 DAILEY RD, BROCKTON, MA 02302-2250
(774) 240-1504
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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