Organization
COMMUNITY COUNSELING OF BRISTOL COUNTY, INC.
Active
Other names
CCBC
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP SHEA MBA (PRESIDENT CEO)
(508) 977-8100
Entity
Organization
Contact information
Practice address
1 WASHINGTON ST, TAUNTON, MA 02780-3960
(508) 823-5400
(508) 824-6604
Mailing address
1 WASHINGTON ST, TAUNTON, MA 02780-3960
(508) 823-5400
(508) 824-6604
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1304721
—
MA
Enumeration date
02/26/2007
Last updated
05/12/2009
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