Provider Demographics
NPI:1922246073
Name:DECIMUS, NEITE
Entity Type:Individual
Prefix:MR
First Name:NEITE
Middle Name:
Last Name:DECIMUS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 NORWOOD ST
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02302-4058
Mailing Address - Country:US
Mailing Address - Phone:508-984-5566
Mailing Address - Fax:
Practice Address - Street 1:543 NORTH STREET
Practice Address - Street 2:CHILD & FAMILY SERVICES, INC.
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740
Practice Address - Country:US
Practice Address - Phone:508-984-5566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-28
Last Update Date:2009-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health