COMMONWEALTH OF MASSACHUSETTS – NPI #1144768045
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

COMMONWEALTH OF MASSACHUSETTS is a community based residential treatment facility located in BROCKTON, MA. NPPES has assigned the NPI number 1144768045 to COMMONWEALTH OF MASSACHUSETTS on February 10, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. COMMONWEALTH OF MASSACHUSETTS is also known by the name BROCKTON MULTISERVICE CENTER. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COMMONWEALTH OF MASSACHUSETTS below.

NPI Profile for
COMMONWEALTH OF MASSACHUSETTS

NPI Number
1144768045
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMMONWEALTH OF MASSACHUSETTS
Other Name: BROCKTON MULTISERVICE CENTER
Primary location
165 QUINCY ST
BROCKTON, MA 02302-2988
Phone: (508) 897-2100 Fax: (508) 586-5117
Mailing address
165 QUINCY ST.
BROCKTON, MA 02301
Phone: (508) 897-2100 Fax: (508) 586-5117
Organization Subpart
No
Authorized Official
MERLEEN MILLS
DIRTECTOR OF EMERGENCY SERVICES
Phone: (508) 285-9400
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)
MA LN25249

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.