Massachusetts Tc Clinical Group

LBN: Teen Challenge New England Inc
Massachusetts Tc Clinical Group is an health care organization with primary practice located at 1311 Main St , Brockton MA 02301-7109. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is the primary health care specialty. Teen Challenge New England Inc can be contacted via phone (508) 408-4378, or through Posey, Jerome via phone (617) 792-0581.

Contact Information

Primary practice address
1311 Main St Brockton MA 02301-7109
Phone: (508) 408-4378
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Posey, Jerome M.ED, LADCI
Phone: (617) 792-0581

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X

Profile Details

NPI number 1205307576
LBN Legal business name Teen Challenge New England Inc
DBA Doing business as Massachusetts Tc Clinical Group
Authorized official Posey, Jerome M.ED, LADCI
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2018
Last updated Dec 17th, 2020 - about 6 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 1205307576 NPPES
Massachusetts MEDICAID 110158884A

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