Organization
LIVING WATER COUNSELING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK H WOTTON III LICSW, LADC1 (CEO)
(413) 275-6368
Entity
Organization
Contact information
Practice address
476 APPLETON ST STE 2, HOLYOKE, MA 01040-3236
(413) 315-3194
(413) 322-8404
Mailing address
94 SUFFOLK ST, HOLYOKE, MA 01040-4458
(413) 315-3194
(413) 315-8404
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4TYZ
MA
Other
Enumeration date
08/29/2013
Last updated
07/28/2020
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