| Organization Name: | BROCKTON AREA MULTI-SERVICES, INC. |
| NPI Number: | 1437101839 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANTHONY SIMONELLI (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 288 Bedford St Whitman |
| State: | MA US |
| Postal Code: | 023821820 |
| Phone Number: | 7814476425 |
| Fax Number: | 7814471786 |
| NPI Enumeration Date: | 05/16/2006 |
| NPI Last Update Date: | 01/15/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 4230 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |