Provider Demographics
NPI:1518984251
Name:THE BRIEN CENTER FOR MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES INC.
Entity Type:Organization
Organization Name:THE BRIEN CENTER FOR MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF REVENUE CYCLE
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:V
Authorized Official - Last Name:IMPRESCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-629-1131
Mailing Address - Street 1:PO BOX 4219
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01202-4219
Mailing Address - Country:US
Mailing Address - Phone:413-499-0412
Mailing Address - Fax:413-445-5768
Practice Address - Street 1:333 EAST ST
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-5369
Practice Address - Country:US
Practice Address - Phone:413-499-0412
Practice Address - Fax:413-445-5768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY10035Medicare ID - Type Unspecified