| Institute For Emerging Adulthood Inc | |
|
25 Main St Ste 219 Northampton MA 01060-3172 | |
| (510) 830-6705 | |
| (413) 341-3284 |
| Full Name | Institute For Emerging Adulthood Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 25 Main St Ste 219, Northampton, Massachusetts |
| Authorized Official Name and Position | Jaycelle Monsanto Basford-pequet (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5108306705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Institute For Emerging Adulthood Inc 25 Main St Ste 219 Northampton MA 01060-3172 Ph: (510) 830-6705 | Institute For Emerging Adulthood Inc 25 Main St Ste 219 Northampton MA 01060-3172 Ph: (510) 830-6705 |
| NPI Number | 1710401781 |
|---|---|
| Provider Enumeration Date | 08/01/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710401781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 119026 (Massachusetts) | Primary |
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