Forde, Patrick Grey

Forde, Patrick Grey is an individual health care provider with primary practice located at 686 N Main St , Brockton MA 02301-2444. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Forde, Patrick Grey can be contacted via phone (508) 587-0815.

Contact Information

Primary practice address
686 N Main St Brockton MA 02301-2444
Phone: (508) 587-0815
Fax: (508) 586-9446
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1951 Massachusetts
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1407096514
LBN Legal business name Forde, Patrick Grey
Credentials MA, LADC II
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2009
Last updated Mar 2nd, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers