| Southbay Community Services | |
|
1115 W Chestnut St Brockton MA 02301-7501 | |
| (508) 521-2200 | |
| Not Available |
| Full Name | Southbay Community Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1115 W Chestnut St, Brockton, Massachusetts |
| Authorized Official Name and Position | Ruthe Antoine (BEHAVIORAL MANAGEMENT THERAPIST) |
| Authorized Official Contact | 9739014042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southbay Community Services 25 Somerset Pl Brockton MA 02301-6048 Ph: (973) 901-4042 | Southbay Community Services 1115 W Chestnut St Brockton MA 02301-7501 Ph: (508) 521-2200 |
| NPI Number | 1407309420 |
|---|---|
| Provider Enumeration Date | 07/26/2016 |
| Last Update Date | 07/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407309420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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