Healthcare Provider Details

I. General information

NPI: 1518996354
Provider Name (Legal Business Name): HIGH POINT TREATMENT CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

72 KILBURN ST
NEW BEDFORD MA
02740-7321
US

IV. Provider business mailing address

72 KILBURN ST
NEW BEDFORD MA
02740-7321
US

V. Phone/Fax

Practice location:
  • Phone: 774-628-1033
  • Fax: 508-997-0765
Mailing address:
  • Phone: 774-628-1033
  • Fax: 508-997-0765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM2800X
TaxonomyMethadone Clinic
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: JESSICA A TAVARES
Title or Position: DIRECTOR OF CREDENTIALING
Credential:
Phone: 774-628-1003