| Ccbc | |
|
1 Washington St Taunton MA 02780-3960 | |
| (508) 823-5400 | |
| (508) 824-6604 |
| Full Name | Ccbc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1 Washington St, Taunton, Massachusetts |
| Authorized Official Name and Position | Philip Shea (PRESIDENR CEO) |
| Authorized Official Contact | 5089778100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ccbc 1 Washington St Taunton MA 02780-3960 Ph: (508) 823-5400 | Ccbc 1 Washington St Taunton MA 02780-3960 Ph: (508) 823-5400 |
| NPI Number | 1538393954 |
|---|---|
| Provider Enumeration Date | 05/13/2009 |
| Last Update Date | 05/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538393954 | NPI | - | NPPES |
| 1302329 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 4167 (Massachusetts) | Primary |
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