| South Bay Community Services | |
|
1115 West Chestnut Street Suite 202 Brockton MA 02301 | |
| (508) 521-2200 | |
| (508) 584-2227 |
| Full Name | South Bay Community Services |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1115 West Chestnut Street Suite 202, Brockton, Massachusetts |
| Authorized Official Name and Position | Sara J Hart (PRESIDENT/COO) |
| Authorized Official Contact | 5083240328 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Bay Community Services 1115 West Chestnut Street Suite 202 Brockton MA 02301 Ph: (508) 521-2200 | South Bay Community Services 1115 West Chestnut Street Suite 202 Brockton MA 02301 Ph: (508) 521-2200 |
| NPI Number | 1033294558 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 04/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033294558 | NPI | - | NPPES |
| 1803034 | Medicaid | MA | |
| 1803395 | Medicaid | MA | |
| 1803514 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 4222 (Massachusetts) | Primary |
Arbour Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Shaw Rd, Brockton, MA 02301 Phone: 617-935-4872 | |
Aubrey Lieberman Md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1342 Belmont St, Suite 105, Brockton, MA 02301 Phone: 508-580-3330 Fax: 508-580-8633 | |
South Bay Community Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1115 West Chestnut Street, Suite 202, Brockton, MA 02301 Phone: 508-521-2200 Fax: 508-584-2227 | |
Brockton Multi Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 165 Quincy St, Dmh, Brockton, MA 02302 Phone: 508-897-2000 Fax: 508-586-5117 | |
Emergency Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 165 Quincy St, Brockton, MA 02302 Phone: 508-897-2000 | |
Serene Way Therapy & Wellness Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 37 Parkview Ln, Brockton, MA 02302 Phone: 774-381-9648 |