Southeast Area Office Rehab Option

LBN: Commonwealth Of Massachusetts-Dmh
Southeast Area Office Rehab Option is an health care organization with primary practice located at 165 Quincy St , Brockton MA 02302-2988. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Commonwealth Of Massachusetts-Dmh can be contacted via phone (508) 897-2000, or through Dailey, Ronald via phone (508) 897-2000.

Contact Information

Primary practice address
165 Quincy St Brockton MA 02302-2988
Phone: (508) 897-2000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dailey, Ronald
Phone: (508) 897-2000

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X EXEMPT Massachusetts

Profile Details

NPI number 1710006051
LBN Legal business name Commonwealth Of Massachusetts-Dmh
DBA Doing business as Southeast Area Office Rehab Option
Authorized official Dailey, Ronald
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710006051 NPPES
Massachusetts MEDICAID 1802674

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