Edwina Martin House

LBN: Emh Recovery, Inc.
Edwina Martin House is an health care organization with primary practice located at 678 N Main St , Brockton MA 02301-2444. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Emh Recovery, Inc. can be contacted via phone (508) 583-0493, or through Mcdonough, Judith M via phone (508) 583-0493.

Contact Information

Primary practice address
678 N Main St Brockton MA 02301-2444
Phone: (508) 583-0493
Fax: (508) 583-4317
Website:
Map and Directions
Authorized official contact:
Name: Mcdonough, Judith M LADC-1, M.ED
Phone: (508) 583-0493

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 0201 Massachusetts

Profile Details

NPI number 1902181654
LBN Legal business name Emh Recovery, Inc.
DBA Doing business as Edwina Martin House
Authorized official Mcdonough, Judith M LADC-1, M.ED
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2011
Last updated Oct 13th, 2011 - about 13 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 1902181654 NPPES
Massachusetts MEDICAID 0201

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