National Provider Identifier Database

TEEN CHALLENGE NEW ENGLAND INC
Addiction Medicine

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine


Contact Information

TEEN CHALLENGE NEW ENGLAND INC
1311 MAIN ST
BROCKTON, MA02301-7109
Phone: 508-408-4378
Fax:
Website:
Specialty Taxonomy Code
* Addiction Medicine 2084A0401X
Clinical 1041C0700X

* Indicates primary specialty

NPI Profile & details for TEEN CHALLENGE NEW ENGLAND INC

NPI Number 1205307576
Legal business name
LBN
TEEN CHALLENGE NEW ENGLAND INC
Authorized official JEROME POSEY - (PROGRAM DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 12/16/2018
Last updated 12/17/2020 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • MA Medicaid: 110158884A

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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