NPI 1750504957

Family Rehab Clinic

Organisation Preferred Provider Organization Brockton, MA

Practice location

Address: 231 Main St STE 103, Brockton, MA 02301-4342
Phone: (508) 587-0404
Fax: (508) 587-0458

Authorised official

Name: Flora Correia
Title: Ceo
Phone: (598) 260-4227

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 204 (MA)

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Registry record

NPI: 1750504957
Entity type: Organization
NPI issued: 10 Apr 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.