South Shore Mental Health
NPI #1114280286 in Stoughton, Massachusetts
Provider Information
- NPI Number
- 1114280286
- Entity Type
- Organization
- Organization Name
- South Shore Mental Health
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Jun 22, 2012
- Last Updated
- Jun 22, 2012
Practice Location
- Address
- 16 PENNIMAN CIRCLE
- City
- Stoughton
- State
- Massachusetts
- ZIP Code
- 02072
- Phone
- (781) 408-6056
Authorized Official
- Name
- JONATHAN PRONE
- Title
- FAMILY SUPPORT WORKER
- Phone
- (508) 580-4691
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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