Healthcare Provider Details

I. General information

NPI: 1639553019
Provider Name (Legal Business Name): HIGH POINT TREATMENT CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2015
Last Update Date: 07/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98 N FRONT ST
NEW BEDFORD MA
02740-7327
US

IV. Provider business mailing address

98 N FRONT ST
NEW BEDFORD MA
02740-7327
US

V. Phone/Fax

Practice location:
  • Phone: 508-997-0475
  • Fax:
Mailing address:
  • Phone: 508-997-0475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number1019520
License Number StateMA

VIII. Authorized Official

Name: SUE TWAROG
Title or Position: A R DIRECTOR
Credential:
Phone: 774-628-1033