Institute For Emerging Adulthood | |
25 Main St Ste 218 Northampton MA 01060-3130 | |
(413) 279-4984 | |
Not Available |
Full Name | Institute For Emerging Adulthood |
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Speciality | Community/behavioral Health |
Location | 25 Main St Ste 218, Northampton, Massachusetts |
Authorized Official Name and Position | Jaycelle Monsanto Pequet (DIRECTOR) |
Authorized Official Contact | 4132794984 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Institute For Emerging Adulthood 25 Main St Ste 218 Northampton MA 01060-3130 Ph: (413) 279-4984 | Institute For Emerging Adulthood 25 Main St Ste 218 Northampton MA 01060-3130 Ph: (413) 279-4984 |
NPI Number | 1336684810 |
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Provider Enumeration Date | 12/20/2016 |
Last Update Date | 12/20/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336684810 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 119026 (Massachusetts) | Primary |
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