Provider Demographics
NPI:1396983979
Name:BROCKTON AREA ASSOCIATON FOR RETARDED CITIZENS, INC
Entity type:Organization
Organization Name:BROCKTON AREA ASSOCIATON FOR RETARDED CITIZENS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:LYNCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-583-8030
Mailing Address - Street 1:1250 WEST CHESTNUT STREET
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-5533
Mailing Address - Country:US
Mailing Address - Phone:508-583-8030
Mailing Address - Fax:508-583-1739
Practice Address - Street 1:1250 WEST CHESTNUT STREET
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-5533
Practice Address - Country:US
Practice Address - Phone:508-583-8030
Practice Address - Fax:508-583-1739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-04
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services