Whalio Doctors

NPI 1639564214

Northeast Behavioral Associates

Organisation Mental Illness Community Based Residential Treatment Facility Brockton, MA

Practice location

Address
23 Dailey Rd, Brockton, MA 02302-2250
Phone
(774) 240-1504

Authorised official

Name
Jayla C Hampton
Title
Behavioral Management Therapist
Phone
(774) 240-1504

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X

Registry record

NPI
1639564214
Entity type
Organization
NPI issued
1 Apr 2015
Record last updated
1 Apr 2015

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.