| Ubhs - Unlimited Behavioral Health Services Inc | |
|
225 Quincy Ave Brockton MA 02302-2864 | |
| (888) 763-7272 | |
| (877) 243-2959 |
| Full Name | Ubhs - Unlimited Behavioral Health Services Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 225 Quincy Ave, Brockton, Massachusetts |
| Authorized Official Name and Position | Edwinna Wynn (CEO) |
| Authorized Official Contact | 8887637272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ubhs - Unlimited Behavioral Health Services Inc 225 Quincy Ave Brockton MA 02302-2864 Ph: (888) 763-7272 | Ubhs - Unlimited Behavioral Health Services Inc 225 Quincy Ave Brockton MA 02302-2864 Ph: (888) 763-7272 |
| NPI Number | 1497339634 |
|---|---|
| Provider Enumeration Date | 05/12/2021 |
| Last Update Date | 12/06/2021 |
| Certification Date | 12/06/2021 |
| Medicare PECOS PAC ID | 7618366139 |
|---|---|
| Medicare Enrollment ID | O20211122001964 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497339634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Ludger Labissiere |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366796070 PECOS PAC ID: 7012205446 Enrollment ID: I20161018000685 |
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