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FAMILY SERVICE ASSOCIATION OF GREATER FALL RIVER, INC.

Addiction Substance Use Disorder

Fall River, Massachusetts

Provider NPI: 1144219551

Organization Information:
Organization Name:  FAMILY SERVICE ASSOCIATION OF GREATER FALL RIVER, INC.
Organization is not Subpart
Authorized Official:  CAROL A. NAGLE  CEO  508-7301138

Practice Location:
151 ROCK ST  FALL RIVER, MA 02720 US
Tel: 508-678-7542  Fax: 508-676-3699

Business Mailing Address:
PO BOX 70  FALL RIVER, MA 02722 US
Tel: 508-678-7542  Fax: 508-676-3699

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
MANONE
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
MA4263
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
MA4263
N104100000XBehavioral Health & Social Service Providers
Social Worker
MA4263
N1041C0700XBehavioral Health & Social Service Providers
Social Worker
MA4263
N2084P0800XPhysicians
Psychiatry & Neurology
MA4263
N2084P0804XPhysicians
Psychiatry & Neurology
MA4263
N364SP0807XPhysician Assistants & Advanced Practice Nursing Providers
Clinical Nurse Specialist
MA4263
N364SP0808XPhysician Assistants & Advanced Practice Nursing Providers
Clinical Nurse Specialist
MA4263

Other Provider Identifiers:

IssuerNumberStateType
1305441MA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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