| Old Colony Young Men's Christian Association, Inc. | |
|
104 Torrey Street Brockton MA 02301-4855 | |
| (508) 427-4383 | |
| (508) 584-4328 |
| Full Name | Old Colony Young Men's Christian Association, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 104 Torrey Street, Brockton, Massachusetts |
| Authorized Official Name and Position | Donna J Desmond (EVP, CFO) |
| Authorized Official Contact | 5088971230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Old Colony Young Men's Christian Association, Inc. 104 Torrey Street Brockton MA 02301-4855 Ph: (508) 427-4383 | Old Colony Young Men's Christian Association, Inc. 104 Torrey Street Brockton MA 02301-4855 Ph: (508) 427-4383 |
| NPI Number | 1366506677 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 03/01/2024 |
| Medicare PECOS PAC ID | 7416991393 |
|---|---|
| Medicare Enrollment ID | O20091118000040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366506677 | NPI | - | NPPES |
| 1319736 | Medicaid | MA |
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