| Old Colony Y Comprehensive Counseling | |
|
104 Torrey Street Brockton MA 02301-4855 | |
| (508) 427-4383 | |
| (508) 584-4328 |
| Full Name | Old Colony Y Comprehensive Counseling |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 104 Torrey Street, Brockton, Massachusetts |
| Authorized Official Name and Position | Donna J Desmond (EVP, CFO) |
| Authorized Official Contact | 5088971230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Old Colony Y Comprehensive Counseling 104 Torrey Street Brockton MA 02301-4855 Ph: (508) 427-4383 | Old Colony Y Comprehensive Counseling 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 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366506677 | NPI | - | NPPES |
| 1319736 | Medicaid | MA |
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