OUTREACH BEHAVIORAL HEALTH AND WELLNESS CENTER INC.
NPI 1174339857
Clinic/Center - Mental Health (Including Community Mental Health Center) in Quincy, MA

Active since December 06, 2024
1354 HANCOCK ST STE 202, QUINCY, MA 02169(857) 939-4445 Get Directions Write a Review

NPPES record last updated: March 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 15, 2025, Dec 6, 2024 (2 updates tracked since 2024).

  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About OUTREACH BEHAVIORAL HEALTH AND WELLNESS CENTER INC.

This page provides the complete NPI Profile along with additional information for Outreach Behavioral Health And Wellness Center Inc., a provider established in Quincy, Massachusetts operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1174339857 assigned on December 2024. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mr. Brandon Gholson (President)

NPI
1174339857 Verify this NPI
Provider Name
OUTREACH BEHAVIORAL HEALTH AND WELLNESS CENTER INC.
Entity Type
Organization
Location Address
1354 HANCOCK ST STE 202 QUINCY, MA 02169
Location Phone
(857) 939-4445
Mailing Address
1354 HANCOCK ST STE 202 QUINCY, MA 02169
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-06-2024
Last Update Date
03-15-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. BRANDON GHOLSON

Authorized Official Title
PRESIDENT
Authorized Official Phone
(857) 939-4445

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Community/Behavioral Health
1354 HANCOCK ST STE 202
QUINCY, MA 02169

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174339857, enumerated as an "organization" on December 06, 2024.

The provider is located at 1354 HANCOCK ST STE 202 QUINCY, MA 02169 and the phone number is (857) 939-4445.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).