Organization
BROCKTON NEIGHBORHOOD HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELEANOR J DIETHELM (SOCIAL WORKER)
(508) 559-6699
Entity
Organization
Contact information
Practice address
231 MAIN ST FL 3, BROCKTON, MA 02301-4342
(508) 559-1567
(508) 559-5073
Mailing address
231 MAIN ST FL 3, BROCKTON, MA 02301-4342
(508) 559-1567
(508) 559-5073
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
1029174
MA
Other
Enumeration date
01/16/2007
Last updated
08/22/2020
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