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General NPI Number Information
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NPI Number | 1558986927
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Entity Type | Organization
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Legal Business Name | CLEARBROOK TREATMENT CENTER MASSACHUSETTS LLC
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Dates
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Enumeration Date | 06/11/2020
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 83 HOSPITAL RD
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City | BALDWINVILLE
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State | MA
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Zip | 01436-1215
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Country | US
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Telephone | 978-894-2161
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Fax | 978-350-5003
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Provider Business Mailing Address
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Address Line | 225 N FEDERAL HWY
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City | POMPANO BEACH
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State | FL
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Zip | 33062-4319
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Country | US
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Telephone | 954-533-7705
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Fax | 954-781-7173
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Authorized Official
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Title or Position | CEO
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Name | JOHN SORY
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Credential |
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Telephone | 954-533-7705
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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