NPI 1114280286

South Shore Mental Health

Organisation Exclusive Provider Organization Stoughton, MA

Practice location

Address: 16 Penniman Circle, Stoughton, MA 02072
Phone: (781) 408-6056
Mailing address: 16 Penniman Cir, Stoughton, MA 02072-3564

Authorised official

Name: Jonathan Prone
Title: Family Support Worker
Phone: (508) 580-4691

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

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Registry record

NPI: 1114280286
Entity type: Organization
NPI issued: 22 Jun 2012
Record last updated: 22 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.