MEDICARE: BROOK ADDICTION TREATMENT CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1790511038
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROOK ADDICTION TREATMENT CENTER INC

Provider Business Mailing Address
First Line	:	20 EAST ST
Second Line	:
City	:	HANOVER
State	:	MA
Zip	:	02339-1638
Country	:	US
Telephone Number	:	866-532-9867
Fax Number	:

Provider Business Practice Location Address
First Line	:	20 EAST ST
Second Line	:
City	:	HANOVER
State	:	MA
Zip	:	02339-1638
Country	:	US
Telephone Number	:	866-532-9867
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF BILLING
Name	:	SAM DAVID STEELE
Credential	:
Telephone Number	:	781-366-3953

Provider Enumeration Date	:	09/12/2024
Last Update Date	:	03/11/2026

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