| The Whole Child, Inc. | |
|
2 Maple Ave Upton MA 01568-1655 | |
| (508) 603-1711 | |
| Not Available |
| Full Name | The Whole Child, Inc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 2 Maple Ave, Upton, Massachusetts |
| Authorized Official Name and Position | Bonnie Jeanne Delongchamp (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5086031711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Whole Child, Inc. Po Box 400 Upton MA 01568-0400 Ph: (508) 603-1711 | The Whole Child, Inc. 2 Maple Ave Upton MA 01568-1655 Ph: (508) 603-1711 |
| NPI Number | 1184350290 |
|---|---|
| Provider Enumeration Date | 07/29/2022 |
| Last Update Date | 07/29/2022 |
| Certification Date | 07/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184350290 | NPI | - | NPPES |
| 313755 | Other | MA | SOCIAL WORK LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
Riverside Community Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 Milford St, Upton, MA 01568 Phone: 508-529-7000 Fax: 508-529-7024 | |
Riverside Community Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 Milford St, Upton, MA 01568 Phone: 508-735-7601 |