Organization
THE WHOLE CHILD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE JEANNE DELONGCHAMP LSW, MMFT (EXECUTIVE DIRECTOR)
(508) 603-1711
Entity
Organization
Contact information
Practice address
2 MAPLE AVE, UPTON, MA 01568-1655
(508) 603-1711
Mailing address
PO BOX 400, UPTON, MA 01568-0400
(508) 603-1711
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
313755
SOCIAL WORK LICENSE
MA
Enumeration date
07/29/2022
Last updated
07/29/2022
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