Basic Information
| Provider Information | |||||||||
| NPI: | 1699264051 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | THE BRIEN CENTER FOR MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES INC. | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | BRIEN CENTER BEHAVIORAL HEALTH COMMUNITY PARTNERS | ||||||||
| OtherOrganizationType: | 5 | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 4219 | ||||||||
| Address2: | |||||||||
| City: | PITTSFIELD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 012024219 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4136291250 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 333 EAST ST | ||||||||
| Address2: | |||||||||
| City: | PITTSFIELD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 012015369 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4136291250 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/01/2018 | ||||||||
| LastUpdateDate: | 05/01/2018 | ||||||||
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| AuthorizedOfficialLastName: | PRINGLE | ||||||||
| AuthorizedOfficialFirstName: | JEFF | ||||||||
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| AuthorizedOfficialTitleorPosition: | VICE PRESIDENT -ADMINISTRATION & FI | ||||||||
| AuthorizedOfficialTelephone: | 4136291250 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251B00000X | N | Agencies | Case Management | 251S00000X | MA | Y | Agencies | Community/Behavioral Health |
No ID Information.