Organization
EMH RECOVERY, INC.
Active
Other names
Edwina Martin House
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH M MCDONOUGH LADC-1, M.ED (EXECUTIVE DIRECTOR)
(508) 583-0493
Entity
Organization
Contact information
Practice address
678 N MAIN ST, BROCKTON, MA 02301-2444
(508) 583-0493
(508) 583-4317
Mailing address
678 N MAIN ST, BROCKTON, MA 02301-2444
(508) 583-0493
(508) 583-4317
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
0201
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0201
—
MA
Enumeration date
10/13/2011
Last updated
10/13/2011
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