Organization
FAMILY AND COMMUNITY RESOURCES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDETTE KELLY (BILLING DIRECTOR)
(508) 583-6498
Entity
Organization
Contact information
Practice address
18 NEWTON ST, BROCKTON, MA 02301-5115
(508) 583-6498
(508) 583-3775
Mailing address
18 NEWTON ST, BROCKTON, MA 02301-5115
(508) 583-6498
(508) 583-3775
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4695 DPH
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003790
BEACON HEALTH ID #
MA
01
—
1302981
MBHP ID #
MD
05
—
1302981
—
MA
01
—
725287
TUFTS ID NUMBER
MA
01
—
95074701
NETWORK HEALTH
MA
01
—
M18532
BCBS ID NUMBER
MA
Enumeration date
12/13/2006
Last updated
02/10/2020
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