Organization
SOUTH BAY MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS OSCAR SUNESON BS (THERAPEUTIC MENTOR)
(508) 324-1060
Entity
Organization
Contact information
Practice address
1563 N MAIN ST, FALL RIVER, MA 02720-2983
(508) 324-1060
Mailing address
1563 N MAIN ST, FALL RIVER, MA 02720-2983
(508) 324-1060
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
S47875271
MA
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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