Provider Demographics
NPI:1912608662
Name:NEXT CHAPTER COLLABORATIVE
Entity Type:Organization
Organization Name:NEXT CHAPTER COLLABORATIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:508-837-7658
Mailing Address - Street 1:4 WATERFORD CIR
Mailing Address - Street 2:
Mailing Address - City:DIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02715-1167
Mailing Address - Country:US
Mailing Address - Phone:508-301-7992
Mailing Address - Fax:508-301-7998
Practice Address - Street 1:1 KNOTTY WALK # 3
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-3250
Practice Address - Country:US
Practice Address - Phone:508-301-7992
Practice Address - Fax:508-301-7998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-10
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health