South Bay Mental Health
NPI #1588093108 in Brockton, Massachusetts
Provider Information
- NPI Number
- 1588093108
- Entity Type
- Organization
- Organization Name
- South Bay Mental Health
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Nov 4, 2013
- Last Updated
- Nov 4, 2013
Practice Location
- Address
- 1115 W CHESTNUT ST
- City
- Brockton
- State
- Massachusetts
- ZIP Code
- 02301-7501
- Phone
- (508) 580-4691
Authorized Official
- Name
- MS. SHAWNTAE NICOLE GRACE
- Title
- INTAKE LIASON
- Phone
- (508) 863-1584
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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