Healthcare Provider Details

I. General information

NPI: 1649815069
Provider Name (Legal Business Name): BRIEN CENTER FOR MENTAL HEALTH & SUBSTANCE ABUSE SRVS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2019
Last Update Date: 12/09/2022
Certification Date: 12/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 AMERICAN LEGION DR
NORTH ADAMS MA
01247-3942
US

IV. Provider business mailing address

PO BOX 4219
PITTSFIELD MA
01202-4219
US

V. Phone/Fax

Practice location:
  • Phone: 413-629-1250
  • Fax:
Mailing address:
  • Phone: 413-629-1250
  • Fax: 413-448-2198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES VINCENT IMPRESCIA
Title or Position: DIRECTOR REVENUE CYCLE MGMT
Credential: MPA
Phone: 413-629-1131