NPI 1124238324

Independence Associates, INC.

Organisation Voluntary or Charitable Agency Brockton, MA

Practice location

Address: 141 Main St Fl 1, Brockton, MA 02301-4012
Phone: (508) 583-2166
Fax: (508) 583-2165

Authorised official

Name: Constance Monique Gallant
Title: Executive Director
Phone: (508) 583-2166

Registered specialties

Voluntary or Charitable Agency Primary

Agencies Taxonomy 251V00000X

Other Voluntary or Charitable providers in Massachusetts →

Registry record

NPI: 1124238324
Entity type: Organization
NPI issued: 23 May 2007
Record last updated: 22 Aug 2020

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.