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Contact Information

TEEN CHALLENGE NEW ENGLAND INC
1311 MAIN ST
BROCKTON, MA02301-7109
 Phone: 508-408-4378
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for TEEN CHALLENGE NEW ENGLAND INC

NPI # 1205307576
LBN Legal business name TEEN CHALLENGE NEW ENGLAND INC
Authorized official JEROME POSEY - (PROGRAM DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/16/2018
Last updated 12/17/2020 - About 5 years ago
Identifiers
MA Medicaid 110158884A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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